【摘要】：目的：探討改良TST術(shù)治療混合痔的臨床療效。方法：將符合納入標(biāo)準(zhǔn)的30例混合痔患者按隨機原則分成試驗組、對照組各15例,試驗組采用“改良TST術(shù)”治療,對照組采用“TST術(shù)”治療。觀察兩組病例的臨床療效及術(shù)后并發(fā)癥,包括標(biāo)本切除量、術(shù)中出血、術(shù)后疼痛、術(shù)后二便情況、肛門墜脹、術(shù)后肛緣水腫及肛緣贅皮殘留等指標(biāo),并進行統(tǒng)計分析。結(jié)果：在標(biāo)本切除量、術(shù)后疼痛、術(shù)后第一次大便通暢情況、術(shù)后肛緣水腫、肛緣贅皮殘留方面,試驗組優(yōu)于對照組,有統(tǒng)計學(xué)意義(P0.05)；在術(shù)中出血量、術(shù)后小便情況、術(shù)后大便次數(shù)、肛門墜脹等方面比較,無顯著差異(P0.05)。近期隨訪均無復(fù)發(fā)。結(jié)論：改良TST術(shù)不僅有效地保留了原有術(shù)式保護肛墊組織的優(yōu)勢；且對肛墊組織具有更好的懸吊效果,在提高臨床療效的同時減少并發(fā)癥,是一種療效確切、安全可靠的治療痔的方法。
[Abstract]:Objective: to investigate the clinical effect of modified TST procedure on mixed hemorrhoids. Methods: thirty patients with mixed hemorrhoids were randomly divided into two groups: the control group (n = 15) and the control group (n = 15). The experimental group was treated with modified TST procedure and the control group with "TST procedure". The clinical efficacy and postoperative complications of the two groups were observed, including sample removal, intraoperative bleeding, postoperative pain, postoperative stool, anal dropsy, perianal edema and residue of perianal neoplasm, and were statistically analyzed. Results: the experimental group was superior to the control group in the quantity of specimen excision, postoperative pain, the first defecation unobstructed after operation, perianal edema and residual exfoliative skin in the anal margin (P0.05). There was no significant difference in intraoperative bleeding, postoperative urination, postoperative defecation, anal bloating and so on (P0.05). No recurrence was found at short term follow-up. Conclusion: the modified TST procedure not only preserves the advantages of the original operation in protecting the anal pad tissue effectively. It is an effective, safe and reliable method to treat hemorrhoids.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R266

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