Lingnan Modern Clinics in Surgery ›› 2013, Vol. 13 ›› Issue (03): 184-188.DOI: 10.3969/j.issn.1009-976X.2
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Wan Renhui, Wen Yiqing, Deng Haocai
万仁辉 温宜清 邓浩财
通讯作者:
Abstract:
【Abstract】 Objective To assess the feasibility and safety of selective superior hemorrhoidal mucosa resection and anastomosis.(Tissue-selecting Therapy stapler,TST).in severe hemorrhoid. Methods One hundred and twenty severe hemorrhoid cases were randomly divided into TST group (60 cases).and procedure for prolapse and hemorrhoids.(PPH).group.(60 cases)..The clinical characteristics and perioperative general data were retrospectively analyzed..Moreover,.the curative effects and short-term outcome were evaluated between two groups. Results No statistical differences about demographic data were found between TST group and PPH group..Moreover less average operation time and blood loss were observed in the TST group and the cases in the TST group cost less postoperative hospital stay and hospitalization expenses. In the comparison of the curative effect, the difference had no statistical significance between two groups. The paining scores in postoperative 2 day and 4 day were less in the TST group. But no difference was found in postoperative 1 week. The scores of anal stenosis,.postoperative defecation and anal bleeding in postoperative 1 months in the TST group were better than PPH group. Conclusion The application of TST method for severe hemorrhoid is available, safe and effective. The TST surgery has a good clinical outcome and improves the postoperative subjective feeling and quality of life.
Key words: Tissue-selecting therapy stapler, Severe hemorrhoid, Curative effect
摘要:
【摘要】 目的 评估选择性痔上黏膜吻合术,又称开环式微创吻合术(tissue-selecting therapy Stapler, TST)在重度内痔治疗中的安全性和可行性。方法 将120例重度内痔的患者随机分至TST手术组(60例)和PPH手术组(60例),通过分析两组患者的临床病理资料、术中、术后情况,评估两组患者的手术效果以及短期预后。结果 两组患者流行病学资料相近,TST的手术时间与术中出血量少于PPH手术组,术后住院时间和住院费用亦占明显优势。但两组患者的临床疗效结果相当,并无显著的统计学差异。而TST手术组的患者术后2天、4天的疼痛评分低于PPH手术组,而在术后1周时两者评分无差别。TST组术后1月的肛门狭窄发生率低于PPH组,排便情况及肛门出血的改善情况亦优于对照组。结论 TST手术治疗内痔的患者是可行、安全、有效的,在保证疗效的同时,明显改善患者的主观感觉,提高术后生活质量。
关键词: 选择性痔上黏膜吻合术, 重度痔病, 疗效
CLC Number:
R657.1
Wan Renhui, Wen Yiqing, Deng Haocai. The application of selective superior hemorrhoidal mucosa resection and anastomosis in severe hemorrhoid[J]. Lingnan Modern Clinics in Surgery, 2013, 13(03): 184-188.
万仁辉 温宜清 邓浩财. 选择性痔上黏膜切除吻合术治疗重度内痔的临床研究[J]. 岭南现代临床外科, 2013, 13(03): 184-188.
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URL: http://www.lingnanwaike.com/EN/10.3969/j.issn.1009-976X.2
http://www.lingnanwaike.com/EN/Y2013/V13/I03/184