开环式微创肛肠吻合器痔切闭术治疗脱垂性痔病的临床研究(1)
摘 要：目的 研究开环式微创肛肠吻合器痔切闭术治疗脱垂性痔病的临床疗效。方法 回顾分析2016年5月～2017年10月在我院诊治的130例脱垂性痔病患者，随机分为对照组和观察组，每组65例。对照组采用吻合器痔上黏膜环切术(PPH)治疗，观察组采用开环式微创肛肠吻合器痔切闭术(TST)治疗，对比两组临床治疗疗效、手术时间、术中出血、住院时间、术后疼痛评分以及并发症发生率。结果 观察组临床治疗有效率与对照组相比，差异无统计学意义(P>0.05)。观察组手术时间、术后出血率、住院时间及术后疼痛评分均低于对照组，差异有统计学意义(P<0.05)；观察组并发症发生率为12.30%，低于对照组的38.46%，差异有统计学意义(P<0.05)。结论 采用TST术治疗脱垂性痔病与PPH术治疗疗效相同，但TST术手术时间短，术后出血发生率低、疼痛轻，且肛门水肿、排尿困难等并发症发生率低，值得临床推广和应用。
关键词：开环式；微创；肛肠吻合器痔切闭术；脱垂性痔病
中图分类号：R657.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.035
, 百拇医药
文章编号：1006-1959(2018)08-0107-03
Clinical Study on Treatment of Prolapse Hemorrhoids by Open-loop Minimally Invasive Anorectal Stapler and Hemorrhoidectomy
TAO Yu-lin
(Department of Surgery，Zhongzang Hospital，Jiuzhaigou 623400，Sichuan，China)
Abstract：Objective To study the clinical effect of open loop minimally invasive anorectal stapler and hemorrhoidectomy in the treatment of prolapse hemorrhoids.Methods 130 patients with prolapse hemorrhoids who were treated in our hospital from May 2016 to October 2017 were randomly divided into control group and observation group with 65 cases in each group.The control group was treated with prolapse and hemorrhoidectomy(PPH)，the observation group was treated with open loop minimally invasive anorectal stapling and hemorrhoidectomy(TST)，compared with the two groups of clinical treatment，operation time，intraoperative bleeding， hospitalization time，postoperative pain score and the incidence of complications.Results The clinical effective rate of the observation group was not significantly different from that of the control group(P>0.05).The operative time，postoperative bleeding rate， hospitalization time and postoperative pain score of the observation group were lower than those in the control group，the difference was statistically significant(P<0.05)；the incidence of complications in the observation group was 12.30%，lower than that in the control group 38.46%，and the difference was statistically significant(P<0.05).Conclusion The treatment of prolapsed hemorrhoids with TST is the same as that of PPH，but the operation time of TST is short，the incidence of postoperative bleeding is low，the pain is light，and the incidence of complications such as anus edema and dysuria is low.It is worthy of clinical popularization and application.
, 百拇医药
Key words：Open loop；Minimally invasive；Anorectal stapler and hemorrhoidectomy；Prolapse hemorrhoids
痔(hemorrhoid)是臨床常见的肛门良性疾病，对于重度痔需要通过手术手段进行治疗[1]。PPH术是临床治疗脱垂性痔病的常用手术方法，该方法对患者创伤小，但术后容易发生肛门坠胀、残便感、排尿困难等并发症，且远期术后复发率高，导致患者对治疗不满意。随着微创手术的发展，PPH改良术式TST已经成为一种新技术被临床应用，但其治疗效果报道较少[2]。本文作者结合2016年5月～2017年10月在我院诊治130例脱垂性痔病患者临床资料，研究TST术治疗脱垂性痔病的疗效，现报告如下。, 百拇医药(陶玉林)
关键词：开环式；微创；肛肠吻合器痔切闭术；脱垂性痔病
中图分类号：R657.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.035
, 百拇医药
文章编号：1006-1959(2018)08-0107-03
Clinical Study on Treatment of Prolapse Hemorrhoids by Open-loop Minimally Invasive Anorectal Stapler and Hemorrhoidectomy
TAO Yu-lin
(Department of Surgery，Zhongzang Hospital，Jiuzhaigou 623400，Sichuan，China)
Abstract：Objective To study the clinical effect of open loop minimally invasive anorectal stapler and hemorrhoidectomy in the treatment of prolapse hemorrhoids.Methods 130 patients with prolapse hemorrhoids who were treated in our hospital from May 2016 to October 2017 were randomly divided into control group and observation group with 65 cases in each group.The control group was treated with prolapse and hemorrhoidectomy(PPH)，the observation group was treated with open loop minimally invasive anorectal stapling and hemorrhoidectomy(TST)，compared with the two groups of clinical treatment，operation time，intraoperative bleeding， hospitalization time，postoperative pain score and the incidence of complications.Results The clinical effective rate of the observation group was not significantly different from that of the control group(P>0.05).The operative time，postoperative bleeding rate， hospitalization time and postoperative pain score of the observation group were lower than those in the control group，the difference was statistically significant(P<0.05)；the incidence of complications in the observation group was 12.30%，lower than that in the control group 38.46%，and the difference was statistically significant(P<0.05).Conclusion The treatment of prolapsed hemorrhoids with TST is the same as that of PPH，but the operation time of TST is short，the incidence of postoperative bleeding is low，the pain is light，and the incidence of complications such as anus edema and dysuria is low.It is worthy of clinical popularization and application.
, 百拇医药
Key words：Open loop；Minimally invasive；Anorectal stapler and hemorrhoidectomy；Prolapse hemorrhoids
痔(hemorrhoid)是臨床常见的肛门良性疾病，对于重度痔需要通过手术手段进行治疗[1]。PPH术是临床治疗脱垂性痔病的常用手术方法，该方法对患者创伤小，但术后容易发生肛门坠胀、残便感、排尿困难等并发症，且远期术后复发率高，导致患者对治疗不满意。随着微创手术的发展，PPH改良术式TST已经成为一种新技术被临床应用，但其治疗效果报道较少[2]。本文作者结合2016年5月～2017年10月在我院诊治130例脱垂性痔病患者临床资料，研究TST术治疗脱垂性痔病的疗效，现报告如下。, 百拇医药(陶玉林)