TST36治疗直肠黏膜脱垂的临床应用观察-中医外科学(肛肠病)专业论文.docxVIP

成都中医药大学硕士论文 成都中医药大学硕士论文 万方数据 万方数据 中文摘要 目的：观察和评价TST36治疗直肠黏膜脱垂的临床疗效及安全性、复发情况。 方法：将符合纳入标准的56例直肠黏膜脱垂患者随机分成两组，治疗组28例， 对照组28例。治疗组行TST36手术治疗，对照组行PPH术。观察其临床疗效，同时 观察两组病例术后并发症，复发情况，评价其治疗效果及安全性。 结果：两组患者治疗后临床症状消失，两组疗效对比无显著差异；治疗组在 平均操作时间、平均住院天数、术中吻合口缝合止血、术中牵拉反射、术后肛门 坠胀、术后疼痛、术后出血、术后大小便情况、直肠狭窄上与对照组比较（P＞0.05）， 无显著差异；两组手术并发症比较（P0.05），无显著性差异；手术切除标本质量、 体积、宽度及6月后随访复发情况（P＜0.05），有差异。 结论：TST36在治疗直肠黏膜脱垂方面，临床疗效确切、安全可靠，具有切除 标本量多、术后复发率低等优点。 关键词：TST36 PPH 直肠黏膜脱垂 临床应用 并发症 2 Abstract Objective：To observe and evaluate TST36 in clinical effectiveness， safety and recurrence in the treatment of rectal mucosa prolapse. Methods：A randomized study was made in 56 patients with rectal mucosa prolapse.The study group(28 cases)received the treatment of TST36 and the control group(28 cases) received the treatment of PPH.Observe and evaluate the treatment effect and complications, judgment about the safety and efficacy of TST36. Results：Two surgical procedures have achieved the same clincal effect.Between two groups,there were not statistically signficant differences in the time of hemostasis intraoperation,operatio and hospital stays,as well as in intraoperative anastomotic suturing hemostasis ， intraoperation stretch reflex,the feeling of the first postoperative defecation and anal pain，postoperative bleeding, postoperative urine situation, rectum stenosis(P＞0.05). There was no significant difference in postoperative complications between two groups(P＞0.05) ，But，there were signficant differences in surgical removal of the specimen quality, size, width, and 6 months follow-up relapse (P 0.05). Conclusion：TST36 treating for rectal mucosa prolapse is a technique with reliable and safety.It has the advantage of much capacity of resection specimen and low postoperative recurrence rate. Key words: TST36, PPH, rectal mucosa prolapse ,clinical research, clinical efficacy ,complications 3 目 录 中文摘要............................................................... 2 Abstract 3 1 引言.....................................