TST手术治疗混合痔的临床研究-中医外科学专业论文.docxVIP

成都中医药大学硕士论文 成都中医药大学硕士论文 PAGE PAGE 10 方法：将符合纳入标准的 60 例混合痔患者随机分成两组，治疗组 30 例，对照组 30 例。治疗组行 TST 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，评价其治疗效果及安全性。 结果：患者治疗后临床症状消失，两组疗效对比无差异，但TST手术 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、 术后第一次排便时肛门坠胀、急便感和出院时肛门坠胀上与PPH手术比较 （P0.05），有显著差异，两组手术并发症（除术后第一次排便时肛门坠胀、 急便感和出院时肛门坠胀外）比较，P0.05，无显著性差异，且术后并发 症少，近期随访无复发。 结论：TST 手术治疗混合痔，是一种临床疗效确切、安全可靠的新方法， 具有操作简单、手术时间短、并发症少等优点。 关键词：TST 手术 混合痔 临床研究 Abstract Objective：To observe and evaluate the clinical efficacy of the TST treatment on with mixed hemorrhoids. Methods ： A randomized study was made in 60 patients with mixed hemorrhoids.The study group(30 cases)received the treatment of TST and the control group(30 cases) received the treatment of PPH.Observe and evaluate the treatment effect and complications, judgment about the safety and efficacy of TST. Results：Two surgical procedures have achieved the same clincal effect.Between two groups,there were statistically signficant differences in the time of hemostasis intraoperation,operatio and hospital stays,as well as in intraoperation stretch reflex,the feeling of the first postoperative defecation and anal bulge(P0.05). There was no significant difference in postoperative complications(in addition to anal bulge and emergency will)between two groups(P0.05) . Conclusion：TST treating for mixed hemorrhoids is a new technique with reliable and safety.It has the advantage of simple, short time spended on operation and low complications. Key words: TST,PPH, clinical research, clinical efficacy ,complications 目 录 中文摘要 1 HYPERLINK \l _bookmark0 Abstract 3 HYPERLINK \l _bookmark1 1 引言 6 HYPERLINK \l _bookmark2 2 临床资料 8 HYPERLINK \l _bookmark3 2.1 病例来源 8 HYPERLINK \l _bookmark4 2.2 诊断标准 8 HYPERLINK \l _bookmark5 2.3 病例纳入标准 8 HYPERLINK \l _bookmark6 2.4 病例排除标准 9 HYPERLINK \l _bookmark7 2.5 受试者的纳入方式 9 HYPERLINK \l _bookmark8 2.6 受试者退出试验的条件及步骤 9 HYPERLINK \l _bookmark9 2.7 中止试验的条件 10 HYPERLINK \l _bookmark10 2.8 剔除病例标准 10 HYPERLINK \l _bookma