[1]杨 洋,陆 雄,陈海伟,等.两种不同手术方式治疗非环状Ⅲ～Ⅳ度内痔临床研究[J].陕西医学杂志,2019,(10):1330-1332.
　YANG Yang,LU Xiong,CHEN Haiwei,et al.Comparison of the efficacy on two different surgical treatment of 〖JZ〗ⅢⅣ degree of nonannular hemorrhoids[J].,2019,(10):1330-1332.
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两种不同手术方式治疗非环状Ⅲ～Ⅳ度内痔临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1330-1332
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Comparison of the efficacy on two different surgical treatment of 〖JZ〗ⅢⅣ degree of nonannular hemorrhoids
文章编号:
DOI:10.3969/j.issn.10007377.2019.10.023
作者:
杨 洋; 陆 雄; 陈海伟; 李文清; 杨博伟; 刘益民△
陕西省宝鸡市人民医院（宝鸡 721000 ）
Author(s):
YANG Yang; LU Xiong; CHEN Haiwei; et al.
Baoji City People's Hospital of Shaanxi Province (Baoji 721000)
关键词:
内痔; 痔上黏膜环切术; 选择性痔上黏膜吻合术; 并发症; 对比研究
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Internal hemorrhoids; Procedure forprolapse and hemorrhoids; Tissueselecting therapy; Complication; Comparative study
分类号:
R657.18
文献标志码:
A
摘要:
摘 要 目的：比较痔上黏膜环切术（PPH）与选择性痔上黏膜吻合术（TST）在非环状Ⅲ～Ⅳ度内痔中的治疗效果。方法：选取90例非环状ⅢⅣ度内痔患者，分为对照组给予PPH治疗和观察组采取TST治疗，两组各45例。比较两组患者术中出血量、手术时间、住院天数、手术前后临床症状缓解情况及术后并发症发生情况等差异。结果：观察组术中出血量较对照组明显减少，手术时间和住院天数较对照组明显缩短（P＜0.05）。观察组术后疼痛缓解率较对照组显著升高（P＜0.05），而两组便血和痔脱出缓解率的比较，并无明显差异（P＞0.05）。两组患者术后吻合口狭窄发生率的比较，并无明显差异（P＞0.05）；但观察组术后肛门下坠发生率较对照组明显下降（P＜0.05）。结论：相比PPH，TST可有效减少非环状ⅢⅣ度内痔患者术中出血量，缩短手术时间和住院时间，减轻术后疼痛等临床症状，同时可降低术后肛门下坠的发生率，因此可作为此类患者微创、安全、有效、可靠、精准的手术方式。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To compare the procedure forprolapse and hemorrhoids (PPH) and tissueselecting therapy (TST) in thetreatment of ⅢⅣ degree of nonannular hemorrhoids.Methods:90 cases of ⅢⅣ degree of nonannular hemorrhoids were divided into the control group with PPH treatment and observation group treated with TST,45 cases in each group.The intraoperative blood loss,operation time,hospital stays,clinical symptoms remission and postoperative complications were compared between the two groups.Results:The amount of intraoperative blood loss in the observation group was significantly lower than that in the control group,and the duration of surgery and hospital stays was significantly shorter than that in the control group (P＜0.05).The rate of postoperative pain remission in the observation group was significantly higher than that in the control group (P＜0.05),while there was no significant difference between the two groups in theremission rate of hematoectum and hemorrhoid prolapse (P＞0.05).There was no significant difference in the incidence of postoperative anastomotic stenosis between the two groups (P＞0.05).However,the incidence of postoperative anal drop in the observation group was significantly lower than that in the control group (P＜0.05).Conclusion:Compared with PPH,TST can effectively reduce theintraoperative blood loss in patients with Ⅲ～Ⅳ degree of nonannular hemorrhoids,shorten the operation time and hospital stays,reduce postoperative pain and other clinical symptoms,can reduce the occurrence of postoperative anal drop at the same time,which can be used as an minimally invasive,safe,effective,reliable and accurate operation.

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更新日期/Last Update: 2019-10-23