Abstract:
Objective To explore the clinical application value of type-C therapy stapler (TCT) in the treatment of annular prolapse hemorrhoids.
Methods The clinical data of 116 cases of annular prolapse hemorrhoids were collected from June 2015 to June 2016 in Traditional Chinese Medicine Hospital of Huanggang. The patients were randomly divided into two groups: The experimental group was treated with TCT (TCT group, 60 cases), The control group was treated with conventional PPH (56 cases in PPH group), TCT group using our design C-type surgery to hold the anal device, the control group using conventional PPH components. The two groups of patients in the general clinical data, surgery and postoperative aspects of the situation were analyzed and compared.
Results The operation time in the TCT group (20.1±6.3 min) was less than that in the PPH group (25.2±6.9 min), the difference was statistically significant (t=2.10, P=0.004). The intraoperative blood loss in the TCT group (6.5±1.2 ml) was less than that in the PPH group (13.6±2.6 ml), the difference was statistically significant (t=2.21, P= 0.001). The duration of pain in the TCT group (1.5±0.4 h) was shorter than that in the PPH group (5.0±0.6 h), the difference was statistically significant (t=2.05, P=0.000); The time of hospitalization in TCT group (6.1±0.6 d) was less than that in PPH group (6.9± 0.5 d), the difference was statistically significant (t=1.78, P=0.002). TCT group of anastomotic secondary bleeding (0%) less than PPH group (8.9%), the difference was statistically significant (P=0.010). The stenosis of the TCT group (0%) was less than that of the PPH group (8.9%), the difference was statistically significant (P=0.010); The anal bulge of TCT group (1.7%) was less than that of PPH group (14.3%), the difference was statistically significant (P=0.014); The urinary retention in the TCT group (5%) was less than that in the PPH group (21.4%), the difference was statistically significant (P=0.011).
Conclusion TCT group was superior to conventional PPH group in operation time, intraoperative blood loss, pain duration, hospitalization time, anastomotic secondary hemorrhage, anastomotic stenosis, anal bulge and urinary retention, Treatment of annular prolapse hemorrhoids, TCT can be used instead of PPH, worthy of clinical application.
Key words:
Hemorrhoids,
Annular prolapse hemorrhoids,
PPH,
TST
Yi Zhang, Shaoxiong Lian, Bing Liu, Qing Lin, Teng Lyv, Guiyou Wu. Clinical observation of the treatment of annular prolapse hemorrhoid by type-C therapy stapler[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(03): 223-227.