改良TST术联合缝扎术治疗Ⅲ、Ⅳ度脱垂性痔病的临床研究

发布时间：2019-06-20 03:52

【摘要】：目的探讨改良TST术联合缝扎术治疗Ⅲ、Ⅳ度脱垂性痔病的临床疗效。方法选择40例Ⅲ、Ⅳ度脱垂性痔病患者,随机均分为试验组和对照组各20例,试验组采用改良TST术联合缝扎术治疗,对照组采用改良TST术治疗,对比观察2组患者的疗效、手术时间、术中出血量、创面愈合时间、术后并发症(术后出血、术后肛门水肿、疼痛、尿潴留、肛门狭窄)、总体满意度及复发率。结果 2组在疗效、手术用时、总体满意度、尿潴留、肛门狭窄方面比较差异无统计学意义,而在术中出血量、创面愈合时间及术后出血、肛门水肿、疼痛、复发率方面,试验组显著优于对照组,差异有统计学意义(P均0.05)。结论改良TST术联合缝扎术治疗Ⅲ、Ⅳ度脱垂性痔病疗效确切,术后并发症发生率低,疗程短,患者满意度高,术后复发率低,是一种具有较高临床应用和推广价值的手术。
[Abstract]:Objective to investigate the clinical effect of modified TST combined with suture in the treatment of grade III and IV prolapsed hemorrhoids. Methods 40 patients with grade III and IV prolapsed hemorrhoids were randomly divided into experimental group (n = 20) and control group (n = 20). The experimental group was treated with modified TST combined with suture and the control group was treated with modified TST. The curative effect, operation time, intraoperative blood loss, wound healing time and postoperative complications (postoperative bleeding, postoperative anal edema, pain, urinary retention, anal stricture) were compared between the two groups. Overall satisfaction and recurrence rate. Results there was no significant difference in curative effect, operation time, overall satisfaction, urinary retention and anal stricture between the two groups, but the amount of intraoperative bleeding, wound healing time, postoperative bleeding, anal edema, pain and recurrence rate in the experimental group were significantly better than those in the control group (P 0.05). Conclusion modified TST combined with suture is effective in the treatment of grade III and IV prolapsed hemorrhoids. The incidence of postoperative complications is low, the course of treatment is short, the satisfaction of patients is high, and the recurrence rate is low. It is a kind of operation with high clinical application and popularization value.
【作者单位】：南京中医药大学;南京中医药大学第一附属医院/江苏省中医院;
【分类号】：R657.18

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