本文選題：痔上黏膜環(huán)形切除吻合術(shù) + 傳統(tǒng)痔切扎術(shù)�。� 參考：《南京中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：比較PPH手術(shù)和傳統(tǒng)痔切扎術(shù)臨床術(shù)后近、遠(yuǎn)期相關(guān)并發(fā)癥及與切除組織病理組織中的環(huán)層小體之間的相關(guān)性。方法：搜集江蘇省中醫(yī)院肛腸科2013年3月至2014年3月行傳統(tǒng)痔切扎術(shù)和PPH術(shù)的60例患者的臨床資料,兩組各30例,詳細(xì)記錄住院期間肛門(mén)疼痛、便血及排便自制功能情況。并于術(shù)后1年進(jìn)行隨訪,主要指標(biāo)為術(shù)后復(fù)發(fā),肛門(mén)感覺(jué)功能,排便自制功能等。兩組患者痔切除組織各取25例行常規(guī)HE染色,分析切除組織中環(huán)層小體數(shù)量的差異,與臨床觀察指標(biāo)比較有無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)果：兩組近期肛門(mén)疼痛、便血以及肛門(mén)自制功能比較有統(tǒng)計(jì)學(xué)差異(P0.05),兩組切除組織中環(huán)層小體計(jì)數(shù)有差異,環(huán)層小體數(shù)目與近期肛門(mén)自制功能評(píng)分呈正相關(guān)。結(jié)論：PPH手術(shù)與傳統(tǒng)痔切扎術(shù)組相比發(fā)生遠(yuǎn)期控便能力無(wú)明顯差異。PPH術(shù)組環(huán)層小體計(jì)數(shù)高于傳統(tǒng)痔切扎術(shù)組,這可能是PPH術(shù)組手術(shù)近期肛門(mén)控便功能劣于傳統(tǒng)痔切扎術(shù)組的原因,可能與近期發(fā)生控便能力下降有關(guān)還需要大樣本的資料證實(shí)。
[Abstract]:Objective: to compare the recent and long term complications between PPH operation and traditional hemorrhoidectomy and the correlation between the complications and the circumferential corpuscles in histopathological tissues. Methods: the clinical data of 60 patients with traditional hemorrhoidectomy and PPH were collected from March 2013 to March 2014 in Department of anal and intestine, Jiangsu Provincial Hospital of traditional Chinese Medicine. 30 cases were in each group. The anus pain, bloody stool and self-made defecation were recorded in detail. The main indicators were recurrence, anal sensory function, self-made defecation and so on. Routine HE staining was performed in 25 cases of hemorrhoidectomy in the two groups. The difference of the number of corpuscles in the excision tissues was analyzed, and there was no statistical significance between the two groups in comparison with the clinical observation indexes. Results: there were significant differences between the two groups in recent anal pain, hematochezia and anal self-made function. There was a significant difference in the number of corpuscles in the central layer after resection between the two groups, and there was a positive correlation between the number of the corpuscles in the ring layer and the score of self-made anal function in the near future. Conclusion compared with the traditional hemorrhoidectomy group, there is no significant difference in the long-term defecation control ability between the two groups. The number of circumferential corpuscles in the PPH group is higher than that in the traditional hemorrhoidectomy group, which may be the reason why the anal control function in the PPH group is inferior to that in the traditional hemorrhoidectomy group. May be related to the recent decline in the ability to control stool need to be confirmed by large sample data.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R657.18

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