基层医院开展TST治疗重度混合痔临床疗效与价值

【摘要】〓目的〓探讨选择性痔上粘膜切除术(TST)治疗重度混合痔在基层医院的临床应用效果及价值。方法〓对我院2011年1月~2012年6月收治的102例重度混合痔患者进行回顾性分析,102例患者根据意愿中,48例施行TST术,54例行传统外剥内扎术(M-M术),观察并比较两组患者的临床疗效。结果〓TST组的术中出血量及住院时间均少于M-M组,差异有统计学意义(P<0.01);TST组在术后疼痛、伤口水肿、排尿困难及复发率方面均优于M-M组;两组手术时间差异无统计学意义。结论〓由于TST是治疗重度混合痔的安全、有效、微创等特点,在基层医院开展患者能够接受。

Analysis of curative effects on severe mixed hemorrhoids by TST treatment in primary hospital

Objective To discuss the clinical effect and value of severe mixed hemorrhoids by Tissue-seleeting Therapy stapler （TST） in primary hospital. Methods The clinical data of 102 severe mixed hemorrhoids patients from January 2011 to June 2012 were retrospectively analyzed. Among 102 cases, 48 cases underwent TST procedure （TST group） and 54 received the traditional Milligan-Morgan hemorrhoidectomy （M-M group）. The clinical efficacy of two groups were observed and compared. Results The patients in TST groups had less intraoperative blood loss and shorter hospitaliza-tion time when compared with M-M group （P〈0.01）. TST was also superior to M-M in postoperative pain, wound edema, dysuria and the recurrence rate. Operation time between two groups had no statistical significance（P〉0.05）. Conclusion TST is a safe, effective, minimally invasive operation method in the treatment of severe mixed hemorrhoids, it is suitable for primary hospital.