改良TST术治疗混合痔的临床疗效观察

发布时间：2018-11-03 19:49

【摘要】：目的：探讨改良TST术治疗混合痔的临床疗效。方法：将符合纳入标准的30例混合痔患者按随机原则分成试验组、对照组各15例,试验组采用“改良TST术”治疗,对照组采用“TST术”治疗。观察两组病例的临床疗效及术后并发症,包括标本切除量、术中出血、术后疼痛、术后二便情况、肛门坠胀、术后肛缘水肿及肛缘赘皮残留等指标,并进行统计分析。结果：在标本切除量、术后疼痛、术后第一次大便通畅情况、术后肛缘水肿、肛缘赘皮残留方面,试验组优于对照组,有统计学意义(P0.05)；在术中出血量、术后小便情况、术后大便次数、肛门坠胀等方面比较,无显著差异(P0.05)。近期随访均无复发。结论：改良TST术不仅有效地保留了原有术式保护肛垫组织的优势；且对肛垫组织具有更好的悬吊效果,在提高临床疗效的同时减少并发症,是一种疗效确切、安全可靠的治疗痔的方法。
[Abstract]:Objective: to investigate the clinical effect of modified TST procedure on mixed hemorrhoids. Methods: thirty patients with mixed hemorrhoids were randomly divided into two groups: the control group (n = 15) and the control group (n = 15). The experimental group was treated with modified TST procedure and the control group with "TST procedure". The clinical efficacy and postoperative complications of the two groups were observed, including sample removal, intraoperative bleeding, postoperative pain, postoperative stool, anal dropsy, perianal edema and residue of perianal neoplasm, and were statistically analyzed. Results: the experimental group was superior to the control group in the quantity of specimen excision, postoperative pain, the first defecation unobstructed after operation, perianal edema and residual exfoliative skin in the anal margin (P0.05). There was no significant difference in intraoperative bleeding, postoperative urination, postoperative defecation, anal bloating and so on (P0.05). No recurrence was found at short term follow-up. Conclusion: the modified TST procedure not only preserves the advantages of the original operation in protecting the anal pad tissue effectively. It is an effective, safe and reliable method to treat hemorrhoids.
【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】：2013
【分类号】：R266

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