两种联合术式治疗环状混合痔的对比研究

发布时间：2018-08-09 14:47

【摘要】：目的：观察和比较TST术联合外剥内扎术和RPH术联合外剥内扎术治疗环状混合痔的临床疗效。方法：按患者意愿,将符合纳入标准的80例环状混合痔患者分成T-M组和R-M组各40例。T-M组采用“TST联合外剥内扎术”治疗,R-M组采用“RPH联合外剥内扎术”治疗。观察两组病例的临床疗效、术中情况和术后情况,包括手术操作时间、术后疼痛、术后出血情况、术后二便情况、肛门坠胀、肛缘水肿、术后后遗症情况、术后切口愈合时间、复发率、术后满意度等指标,并进行统计分析。结果：在临床疗效、术后疼痛、术后肛缘水肿、术后切口愈合时间、术后满意度方面,T-M组优于R-M组,有统计学意义(P0.05)；在手术操作时间上,R-M组优于T-M组,有统计学意义(P0.05)；在术后出血情况、术后二便情况、肛门坠胀等方面,无明显差异(P0.05)。两组均无后遗症发生,近期随访均无复发。结论：采用TST联合外剥内扎术治疗环状混合痔,在达到治疗目的的同时,还可减少术后并发症的发生,具有恢复时间短,患者满意度高等特点。通过本次研究,可以得出TST联合外剥内扎术可以达到更好的治疗效果且安全有效,值得在临床上推广运用。
[Abstract]:Objective: to observe and compare the clinical effect of TST combined with exfoliation and RPH combined with exfoliation and internal ligation in the treatment of circular mixed hemorrhoids. Methods: according to the wishes of the patients, 80 patients with circular mixed hemorrhoids were divided into T-M group and R-M group, 40 cases each. T-M group was treated with "TST combined with external stripping and internal ligation" and R-M group was treated with "RPH combined with external exfoliation and internal ligation". The clinical effects, intraoperative and postoperative conditions, including operative time, postoperative pain, postoperative bleeding, postoperative stool, anal distension, anal edema, postoperative sequelae, postoperative wound healing time, were observed in the two groups. Recurrence rate, postoperative satisfaction and other indicators, and statistical analysis. Results: in clinical effect, postoperative pain, postoperative anal edema, postoperative incision healing time, postoperative satisfaction, T-M group was better than R-M group (P0.05), R-M group was better than T-M group (P0.05). There was no significant difference in postoperative bleeding, postoperative stool, anal distension and so on (P0.05). No sequelae were found in both groups, and no recurrence was found at short-term follow-up. Conclusion: the treatment of annular mixed hemorrhoids with TST combined with external exfoliation and internal ligation can also reduce the incidence of postoperative complications and has the characteristics of short recovery time and high patient satisfaction. Through this study, it can be concluded that TST combined with external stripping and internal ligation can achieve better therapeutic effect and is safe and effective, and it is worth popularizing in clinic.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

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