CAJ | 학술논문

【目的】分析比较选择性痔上黏膜吻合术(Tissue-selecting Therapy Stapler,TST)和吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH)在混合痔患者中的治疗效果。【方法】选取2013年5月至2014年5月本院收治的100例混合痔患者,随机将其分为 TST 组(n =48)和 PPH 组(n =52),比较两组患者的疗效,术中及术后的基本情况。【结果】两组患者疗效比较差异无统计学意义(P >0.05)。与PPH 组相比,TST 组患者手术时间及住院时间短,术中出血量少,尿潴留、水肿、肛门坠胀、术后出血、术后疼痛等术后并发症少,差异均具有统计学意义(P <0.05)。两组患者的满意度和吻合口狭窄并发症的比较,差异无统计学意义(P >0.05)。【结论】与 PPH 比较 TST 治疗混合痔操作简单,创伤小,患者术后恢复快,并发症少。
【목적】분석비교선택성치상점막문합술(Tissue-selecting Therapy Stapler,TST)화문합기치상점막배절술(procedure for prolapse and hemorrhoids,PPH)재혼합치환자중적치료효과。【방법】선취2013년5월지2014년5월본원수치적100례혼합치환자,수궤장기분위 TST 조(n =48)화 PPH 조(n =52),비교량조환자적료효,술중급술후적기본정황。【결과】량조환자료효비교차이무통계학의의(P >0.05)。여PPH 조상비,TST 조환자수술시간급주원시간단,술중출혈량소,뇨저류、수종、항문추창、술후출혈、술후동통등술후병발증소,차이균구유통계학의의(P <0.05)。량조환자적만의도화문합구협착병발증적비교,차이무통계학의의(P >0.05)。【결론】여 PPH 비교 TST 치료혼합치조작간단,창상소,환자술후회복쾌,병발증소。
[Objective]To compare the curative effect of Tissue-selecting Therapy Stapler (TST)and pro-cedure for prolapse and hemorrhoids (PPH)in the treatment of patients with mixed hemorrhoid.[Method]One hundred cases of patients with mixed hemorrhoid were randomly divided into two groups:TST group (n=48)and PPH group (n =52)according to the treatment methods from May 2005 to May 2014,the curative effect of the two groups was compared including the patients'intraoperative and postoperative general status .[Results]There were no statistical significance in the treatment outcome between two groups (P > 0.05 ). Compared with PPH group ,TST group underwent shorter duration both in surgical procedure and hospital stay,less intraoperative blood loss,less urinary retention,edema,Anal pendant expansion,postoperative bleeding,and postoperative pain(P <0.05).There was no statistically significant difference about patients'sat-isfaction and anastomotic stricture complications(P >0.05 ).[Conclusion]The treatment of TST to mixed hemorrhoid is simple,and less invasive,patients recovered from operation faster with less complications.