开环式痔微创吻合术治疗脱垂性痔病术后排便通畅程度的临床研究

目的：观察开环式痔微创吻合术（TST）与痔上黏膜环切术（PPH）及外切内扎术治疗痔病术后患者排便通畅程度的差异。方法：将45例Ⅲ、Ⅳ期脱垂性痔病患者,随机分组为实验组（TST组）和对照组A（PPH组）、对照组B（外切内扎组）,比较3组患者术后排便通畅程度的差异。结果：TST术对术后患者排便影响较小,对患者早期排便的可控性及后期排便的通畅性较PPH及外切内扎术有优势。结论：TST术对于以非环状脱垂为主要症状的痔病患者,特别是Ⅲ、Ⅳ度痔,是一种较为理想的手术治疗方法。

Clinical Research of Bowels Open Degree of Tissue-selecting Therapy Stapler in the Treatment of Prolapsed Hemorrhoids

Objective：To observe the difference of bowels open degree among Tissue-selecting Therapy stapler（TST）,procedure for prolapsed and hemorrhoids（PPH）and Milligan Morgan in the treatment of hemorrhoids.Methods：45 patients with Prolapsed hemorrhoids during Ⅲ and Ⅳ periods were randomly divided into the experimental group（TST group）,the control group A（PPH group） and control group B（Milligan Morgan group）.Compare the difference of bowels open degree after operation.Results：TST has little influence on the patients owning to the advantage between controllability of early defecation and smooth degree of late defecation compared with PPH and Milligan Morgan.Conclusion：TST is a more ideal surgical treatment method for hemorrhoids with non annular prolapsed as the main symptoms,especially for Ⅲ and Ⅳ degrees.