TST微创术与PPH治疗混合痔的术后并发症及肛肠动力恢复效果比较
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摘要
目的观察及对比选择性痔上黏膜吻合(TST)微创术与吻合器痔环切术(PPH)治疗混合痔术后的并发症情况及肛肠动力恢复效果。方法选取我院收治的94例混合痔患者,随机平均分为两组。观察组采用TST微创术治疗,对照组采用PPH治疗,对比两组的治疗效果、并发症情况及肛肠动力学指标。结果观察组的治疗总有效率为97.9%,显著高于对照组的85.1%(P <0.05)。观察组的并发症发生率为6.4%,显著低于对照组的21.3%(P <0.05)。术前,两组的HPZ、 ARP、 MSP水平比较无统计学差异(P>0.05);术后,观察组的HPZ、 ARP、 MSP水平均显著高于对照组(P <0.05)。结论采用TST微创术治疗混合痔能够有效减少并发症的发生,促进肛肠动力恢复,效果显著,值得临床推广应用。
Objective To observe and compare the postoperative complications and recovery effects of anorectal dynamics between tissue-selecting therapy stapler(TST) minimally invasive surgery and procedure for prolapsing hemorrhoids(PPH) in the treatment of mixed hemorrhoids. Methods 94 case of patients with mixed hemorrhoids admitted to our hospital were selected and randomly divided into two groups equally. The observation group received TST minimally invasive surgery, while the control group received PPH. The treatment effects, complications and anorectal dynamic indicators were compared between the two groups. Results The total effective rate of treatment of the observation group was 97.9%, significantly higher than 85.1% of the control group(P <0.05). The incidence of complications of the observation group was 6.4%, significantly lower than 21.3% of the control group(P <0.05). Before surgery, no statistical difference was found in the levels of HPZ, ARP and MSP between the two groups(P >0.05). After surgery, the HPZ, ARP and MSP levels of the observation group were significantly higher than those of the control group(P <0.05). Conclusions TST minimally invasive surgery in the treatment of mixed hemorrhoids can effectively reduce the complications, and promote the recovery of anorectal dynamics, with significant effect, which is worthy of clinical promotion and application.
Objective To observe and compare the postoperative complications and recovery effects of anorectal dynamics between tissue-selecting therapy stapler(TST) minimally invasive surgery and procedure for prolapsing hemorrhoids(PPH) in the treatment of mixed hemorrhoids. Methods 94 case of patients with mixed hemorrhoids admitted to our hospital were selected and randomly divided into two groups equally. The observation group received TST minimally invasive surgery, while the control group received PPH. The treatment effects, complications and anorectal dynamic indicators were compared between the two groups. Results The total effective rate of treatment of the observation group was 97.9%, significantly higher than 85.1% of the control group(P <0.05). The incidence of complications of the observation group was 6.4%, significantly lower than 21.3% of the control group(P <0.05). Before surgery, no statistical difference was found in the levels of HPZ, ARP and MSP between the two groups(P >0.05). After surgery, the HPZ, ARP and MSP levels of the observation group were significantly higher than those of the control group(P <0.05). Conclusions TST minimally invasive surgery in the treatment of mixed hemorrhoids can effectively reduce the complications, and promote the recovery of anorectal dynamics, with significant effect, which is worthy of clinical promotion and application.
引文
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[7]唐力,霍斌,王家凯.加强荷包缝合TST术与PPH术联合外剥内扎治疗重度混合痔的疗效对比[J].世界中医药, 2016, 11(6):1712-1713.
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[2]王环,丁永红,张丽. RPH配合传统外剥内扎法治疗混合痔患者的临床效果观察[J].中国社区医师, 2016, 32(22):64-65.
[3]美国结直肠外科医师协会标准化工作委员会.痔疮诊断和治疗指南(2010修订版)[J].中华消化外科杂志, 2012, 11(3):243-247.
[4]张全辉,邓永文,姚玉乔.改良TST术治疗Ⅲ~Ⅳ度混合痔59例的疗效[J].实用临床医学, 2016, 17(7):53-54, 56.
[5]张曦文.选择性痔上黏膜吻合术与吻合器痔上黏膜环切术治疗混合痔的疗效比较[J].医学临床研究, 2015, 32(8):1579-1581.
[6]沈荣华,林宏城. TST联合芍倍注射治疗重度混合痔疗效观察[J].国际医药卫生导报, 2016, 22(2):152-155.
[7]唐力,霍斌,王家凯.加强荷包缝合TST术与PPH术联合外剥内扎治疗重度混合痔的疗效对比[J].世界中医药, 2016, 11(6):1712-1713.
[8]王钟焰,杨瑞琦,刘一迪,等.比较混合痔TST术与PPH术对肛肠动力学影响及临床意义[J].中国农村卫生, 2015,(3):56-57.