选择性痔上黏膜吻合术与痔上黏膜环切术治疗非环状重度内痔患者对术后排便的影响

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 118-.

选择性痔上黏膜吻合术与痔上黏膜环切术治疗非环状重度内痔患者对术后排便的影响

兴安界首骨伤医院综合外科，广西桂林 541506

出版日期:2022-07-01 发布日期:2022-10-25

Effect of tissue-selecting therapy stapler and procedure for prolapse and hemorrhoids in patients with non-circular severe internal hemorrhoids

General Surgery Department of Xing'an Jieshou Orthopedics Hospital, Guangxi Guilin 541506, China

Online:2022-07-01 Published:2022-10-25

摘要/Abstract

摘要：

目的探讨选择性痔上黏膜吻合术（tissue-selecting therapy stapler,TST）与痔上黏膜环切术（procedure for prolapse and hemorrhoids,PPH）治疗非环状重度内痔患者对术后排便的影响。方法选取2019年10 月至2021 年10 月兴安界首骨伤医院收治的非环状重度内痔患者80 例，采用随机数字表法将患者分为TST 组和PPH 组，每组40 例。TST 组采用TST 术式治疗，PPH 组采用PPH 术式治疗。比较两组患者手术情况、术后排便情况及术后并发症发生情况。结果 TST 组患者术中出血量、手术时间、住院时间以及创面愈合时间均短于PPH 组（P ＜ 0.05）；TST 组患者术后首次排便时间短于PPH 组（P ＜ 0.05），且与PPH 组比较，TST 组患者术后排便状况更好（P ＜ 0.05）；TST 组术后并发症总发生率为15.00%，低于PPH 组的2.50%（P ＜ 0.05）。结论较PPH 术式，TST 术式术中出血量更低，手术时间更短，术后恢复时间更快，且患者术后排便情况更好，术后并发症发生风险更低。

关键词: 选择性痔上黏膜吻合术, 痔上黏膜环切术, 非环状重度内痔, 排便情况

Abstract:

Objective To investigate the effect of tissue-selecting therapy stapler (TST) and procedure for prolapse and hemorrhoids (PPH) on postoperative defecation in patients with non-circular severe internal hemorrhoids. Method 80 patients with non-circular severe internal hemorrhoids admitted to Xing'an Jieshou Orthopedics Hospital from October 2019 to October 2021 were randomly divided into TST group and PPH group, with 40 cases in each group. TST group was treated with TST, PPH group with PPH. The operation, postoperative defecation and postoperative complications were compared between the two groups. Result The bleeding volume, operation time, hospital stay and wound healing time in TST group were shorter than those in PPH group (P＜0.05); the first postoperative defecation time in TST group was shorter than that in PPH group (P ＜ 0.05); the total

incidence of postoperative complications in TST group was 15.00%, which was lower than 2.50% in PPH group (P＜ 0.05). Conclusion Compared with PPH, TST has lower intraoperative bleeding, shorter operation time, faster postoperative recovery time, better postoperative defecation and lower risk of postoperative complications.

Key words: Tissue-selecting therapy stapler, Procedure for prolapse and hemorrhoids, Non-circular severe internal hemorrhoids, Defecation

唐勇林, 赵军. 选择性痔上黏膜吻合术与痔上黏膜环切术治疗非环状重度内痔患者对术后排便的影响 [J]. 临床普外科电子杂志, 2022, 10(3): 118-.

TANG Yonglin, ZHAO Jun. Effect of tissue-selecting therapy stapler and procedure for prolapse and hemorrhoids in patients with non-circular severe internal hemorrhoids [J]. Journal of General Surgery for Clinicians, 2022, 10(3): 118-.