传统痔切扎术与PPH术术后近远期并发症及相关病理临床研究

发布时间：2018-04-29 14:56

本文选题：痔上黏膜环形切除吻合术 + 传统痔切扎术　；参考：《南京中医药大学》2015年硕士论文

【摘要】：目的：比较PPH手术和传统痔切扎术临床术后近、远期相关并发症及与切除组织病理组织中的环层小体之间的相关性。方法：搜集江苏省中医院肛肠科2013年3月至2014年3月行传统痔切扎术和PPH术的60例患者的临床资料,两组各30例,详细记录住院期间肛门疼痛、便血及排便自制功能情况。并于术后1年进行随访,主要指标为术后复发,肛门感觉功能,排便自制功能等。两组患者痔切除组织各取25例行常规HE染色,分析切除组织中环层小体数量的差异,与临床观察指标比较有无统计学意义。结果：两组近期肛门疼痛、便血以及肛门自制功能比较有统计学差异(P0.05),两组切除组织中环层小体计数有差异,环层小体数目与近期肛门自制功能评分呈正相关。结论：PPH手术与传统痔切扎术组相比发生远期控便能力无明显差异。PPH术组环层小体计数高于传统痔切扎术组,这可能是PPH术组手术近期肛门控便功能劣于传统痔切扎术组的原因,可能与近期发生控便能力下降有关还需要大样本的资料证实。
[Abstract]:Objective: to compare the recent and long term complications between PPH operation and traditional hemorrhoidectomy and the correlation between the complications and the circumferential corpuscles in histopathological tissues. Methods: the clinical data of 60 patients with traditional hemorrhoidectomy and PPH were collected from March 2013 to March 2014 in Department of anal and intestine, Jiangsu Provincial Hospital of traditional Chinese Medicine. 30 cases were in each group. The anus pain, bloody stool and self-made defecation were recorded in detail. The main indicators were recurrence, anal sensory function, self-made defecation and so on. Routine HE staining was performed in 25 cases of hemorrhoidectomy in the two groups. The difference of the number of corpuscles in the excision tissues was analyzed, and there was no statistical significance between the two groups in comparison with the clinical observation indexes. Results: there were significant differences between the two groups in recent anal pain, hematochezia and anal self-made function. There was a significant difference in the number of corpuscles in the central layer after resection between the two groups, and there was a positive correlation between the number of the corpuscles in the ring layer and the score of self-made anal function in the near future. Conclusion compared with the traditional hemorrhoidectomy group, there is no significant difference in the long-term defecation control ability between the two groups. The number of circumferential corpuscles in the PPH group is higher than that in the traditional hemorrhoidectomy group, which may be the reason why the anal control function in the PPH group is inferior to that in the traditional hemorrhoidectomy group. May be related to the recent decline in the ability to control stool need to be confirmed by large sample data.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

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