中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
12期
57-59
,共3页
罗江伟%岑立成%甘能中%黄建%钟高凯
囉江偉%岑立成%甘能中%黃建%鐘高凱
라강위%잠립성%감능중%황건%종고개
混合痔%选择性痔上黏膜切除钉合术%消痔灵%疗效
混閤痔%選擇性痔上黏膜切除釘閤術%消痔靈%療效
혼합치%선택성치상점막절제정합술%소치령%료효
Mixed hemorrhoids%Tissue-selecting stapler therapy%Xiaozhiling%Effect
目的：探讨TST联合消痔灵注射液治疗混合痔的安全性和有效性。方法收集2013年10月~2014年6月在本科住院并接受手术治疗的Ⅲ、Ⅳ度痔患者100例，随机分成治疗组和对照组，治疗组采用TST联合消痔灵注射液治疗，对照组采用传统外剥扎术治疗，对比两组患者的近期和远期疗效。结果治疗组的治愈率为96%，对照组为84%，两组比较差异有统计学意义（P<0.05）；治疗组的手术时间、住院时间短于对照组，术中出血量少于对照组，术后疼痛评分、尿潴留发生率、肛缘水肿评分均低于对照组，满意度评分高于对照组，差异有统计学意义（P<0.05）；两组肛门坠胀感发生率、便血评分、复发率、肛门狭窄发生率、术口感染发生率比较差异无统计学意义（P>0.05）。结论 TST联合消痔灵注射液治疗混合痔具有创伤小、恢复快、患者满意度高等优点，值得临床推广。
目的：探討TST聯閤消痔靈註射液治療混閤痔的安全性和有效性。方法收集2013年10月~2014年6月在本科住院併接受手術治療的Ⅲ、Ⅳ度痔患者100例，隨機分成治療組和對照組，治療組採用TST聯閤消痔靈註射液治療，對照組採用傳統外剝扎術治療，對比兩組患者的近期和遠期療效。結果治療組的治愈率為96%，對照組為84%，兩組比較差異有統計學意義（P<0.05）；治療組的手術時間、住院時間短于對照組，術中齣血量少于對照組，術後疼痛評分、尿潴留髮生率、肛緣水腫評分均低于對照組，滿意度評分高于對照組，差異有統計學意義（P<0.05）；兩組肛門墜脹感髮生率、便血評分、複髮率、肛門狹窄髮生率、術口感染髮生率比較差異無統計學意義（P>0.05）。結論 TST聯閤消痔靈註射液治療混閤痔具有創傷小、恢複快、患者滿意度高等優點，值得臨床推廣。
목적：탐토TST연합소치령주사액치료혼합치적안전성화유효성。방법수집2013년10월~2014년6월재본과주원병접수수술치료적Ⅲ、Ⅳ도치환자100례，수궤분성치료조화대조조，치료조채용TST연합소치령주사액치료，대조조채용전통외박찰술치료，대비량조환자적근기화원기료효。결과치료조적치유솔위96%，대조조위84%，량조비교차이유통계학의의（P<0.05）；치료조적수술시간、주원시간단우대조조，술중출혈량소우대조조，술후동통평분、뇨저류발생솔、항연수종평분균저우대조조，만의도평분고우대조조，차이유통계학의의（P<0.05）；량조항문추창감발생솔、편혈평분、복발솔、항문협착발생솔、술구감염발생솔비교차이무통계학의의（P>0.05）。결론 TST연합소치령주사액치료혼합치구유창상소、회복쾌、환자만의도고등우점，치득림상추엄。
Objective To investigate the safety and effectiveness of tissue-selecting stapler therapy(TST) combined with Xiaozhiling injection in the treatment of mixed hemorrhoids. Methods 100 patients with hemorrhoid in Ⅲ or Ⅳ de-grees admitted into our hospital and performed with surgery from October 2013 to June 2014 were selected and ran-domly divided into treatment group and control group.In treatment group,combination of TST and Xiaozhiling injection were applied,while in control group,traditional Milligan-Morgan surgery was used.The short-term and long-term effect were compared between two groups. Results The cure rate in treatment group was 96%,while in control group,the rate was 84%,with a statistical difference (P<0.05).The operation time,hospital stay in treatment group was shorter than that in control group respectively,intraoperative blood loss in treatment group was less than that in control group,postopera-tive paln score,incidence rate of urinary retention,edema of anal edge score in treatment group was lower than that in control group respectively,score of satisfaction rate in treatment group was higher than that in control group,with statis-tical difference (P<0.05).There were no statistical difference in incidence rate of anal pendant expansion after surgery, blood in the stool score,recurrence rate,incidence rate of anal stenosis and incidence rate of incision infection between two groups (P>0.05). Conclusion TST combined with Xiaozhiling injection in the treatment of mixed hemorrhoids has advantages of small wound,quick recovery and high satisfaction rate,etc.It is worthy of promotion in clinic.
