CAJ | 학술논문

目的：探讨选择性痔上黏膜切除钉合术(TST)治疗直肠黏膜脱垂在基层医院的临床应用及价值。方法选择2013年3月~2015年2月于我院住院治疗的直肠黏膜脱垂患者40例，随机分为 TST 组(20例)及经肛门吻合器直肠黏膜切除术(PPH)组(20例)，观察分析 TST 组及 PPH 组的临床疗效及术后情况。结果两组治疗有效率为100%；TST组手术用时及术中出血量明显比 PPH 组少(P <0.01)；术后便血及复发比较差异无统计学意义(P >0.05)；两组均无肛旁感染及吻合口狭窄等术后并发症。结论 TST 治疗直肠黏膜脱垂的疗效与 PPH 相似，操作简单，适合于基层医院开展。
목적：탐토선택성치상점막절제정합술(TST)치료직장점막탈수재기층의원적림상응용급개치。방법선택2013년3월~2015년2월우아원주원치료적직장점막탈수환자40례，수궤분위 TST 조(20례)급경항문문합기직장점막절제술(PPH)조(20례)，관찰분석 TST 조급 PPH 조적림상료효급술후정황。결과량조치료유효솔위100%；TST조수술용시급술중출혈량명현비 PPH 조소(P <0.01)；술후편혈급복발비교차이무통계학의의(P >0.05)；량조균무항방감염급문합구협착등술후병발증。결론 TST 치료직장점막탈수적료효여 PPH 상사，조작간단，괄합우기층의원개전。
Objective To investigate the clinical value of selective resection of superior hemorrhoidal mu-cosa stapling technique (TST)for treatment of rectal mucosal prolapse in primary care hospital. Methods Forty patients with rectal mucosal prolapse cared at our hospital March 2013 ~February 2015 were recruited and randomly divided into a TST group (20 cases)and PPH group (20 cases treated with procedure for pro-lapse and hemorrhoids,abbreviated as PPH).Observed and analyzed the clinical effects and post-operation condition for TST group and PPH group. Results The response rate was 100% for both two groups.Pa-tients of the TST group had less intra-operation duration and bleeding volume than those of PPH group (P <0.01);group-paired comparison of postoperative recurrence and hematochezia yielded no statistical differences (P >0.05 );no complications as perianal infection and anastomotic stenosis after operation occurred in two groups. Conclusion TST had similar therapeutic effectiveness as PPH in treatment of rectal mucosal pro-lapse similar,it is a kind of simple operation and suitable for primary care hospital.