开环式微创痔上粘膜切除吻合术(TST术)与Milligan-Morgan术治疗痔病疗效及术后并发症对比
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摘要
目的:研究分析痔病采用开环式微创痔上粘膜切除吻合术(TST术)与Milligan-Morgan术治疗的效果以及术后情况。方法:将2016年5月份~2017年5月份收治接受治疗的痔疮患者96例按照治疗方式的不同分成两组,TST组实施开环式微创痔上粘膜切除吻合术,M-M组实施Milligan-Morgan术治疗,比较两组患者治疗效果、治疗相关情况以及术后情况。结果:TST组手术操作时间、住院时间较M-M组比较均有不同程度的缩短;TST组术后并发症发生率8.33%,较M-M组18.75%的发生率有明显差异,P<0.05,有统计学意义。结论:痔病采用TST手术具有操作简单,手术时间短,术后并发症少,疼痛程度低,缩短患者住院时间,加快患者的预后,值得临床推广。
Objective:To study the effect and postoperative situation of mucous membrane excision anastomosis on open-loop decay and hemorrhoid(TST)and Milligan-morgan on hemorrhoid disease.Methods:96 cases of patients with hemorrhoids treated from May 2016 to May 2017 were divided into two groups according to the differece of therapy methods,TST group wea treated with mucous membrane excision anastomosis on open-loop decay and hemorrhoid,M-M group received Milligan-morgan treatment,compared treatment effect,treatment and post operation of two groups.Results:The operation time and hospitalization time of the TST group were reduced to different degrees compared with that of the M-M group.Compared with M-M group,the incidence of postoperative complications of TST group was 8.33%,which was significantly higher than that in M-M group(18.75%),P<0.05,with statistical significance.Conclusion:Hemorrhoids with TST operation has the advantages of simple operation,short operation time,less postoperative complications,low pain degree,shortening the hospitalization time and accelerating the prognosis of patients.It is worthy of clinical promotion.
Objective:To study the effect and postoperative situation of mucous membrane excision anastomosis on open-loop decay and hemorrhoid(TST)and Milligan-morgan on hemorrhoid disease.Methods:96 cases of patients with hemorrhoids treated from May 2016 to May 2017 were divided into two groups according to the differece of therapy methods,TST group wea treated with mucous membrane excision anastomosis on open-loop decay and hemorrhoid,M-M group received Milligan-morgan treatment,compared treatment effect,treatment and post operation of two groups.Results:The operation time and hospitalization time of the TST group were reduced to different degrees compared with that of the M-M group.Compared with M-M group,the incidence of postoperative complications of TST group was 8.33%,which was significantly higher than that in M-M group(18.75%),P<0.05,with statistical significance.Conclusion:Hemorrhoids with TST operation has the advantages of simple operation,short operation time,less postoperative complications,low pain degree,shortening the hospitalization time and accelerating the prognosis of patients.It is worthy of clinical promotion.
引文
1阮颖彦.130例外切内扎术与PPH吻合术治疗混合痔的临床疗效比较.求医问药(学术版),2012,10(6):311~312.
2 胡华,何永恒.RPH结合简化外切内扎术治疗混合痔30例.湖南中医杂志,2015,31(5):62~64.
3 张琦,屈景辉,杨向东,等.选择性痔上黏膜切除吻合术治疗内痔的临床研究.结直肠肛门外科,2012,18(2):86~89.
4 刘贺.PPH联合外痔切除术治疗环状混合痔并发症的防治.结直肠肛门外科,2013,19(1):22~24.
2 胡华,何永恒.RPH结合简化外切内扎术治疗混合痔30例.湖南中医杂志,2015,31(5):62~64.
3 张琦,屈景辉,杨向东,等.选择性痔上黏膜切除吻合术治疗内痔的临床研究.结直肠肛门外科,2012,18(2):86~89.
4 刘贺.PPH联合外痔切除术治疗环状混合痔并发症的防治.结直肠肛门外科,2013,19(1):22~24.