Comparison of efficacy on Ⅲ~Ⅳdegree of hemorrhoids between tissue-selecting therapy and procedure for prolapse and hemorrhoids

doi:10.3877/cma.j.issn.2095-3224.2019.02.014

Abstract

Abstract:

Objective

To compare the effect of tissue-selecting therapy (TST) and procedure for prolapse and hemorrhoids (PPH) in the treatment of Ⅲ~Ⅳ degree of hemorrhoids.

Methods

The clinical data of 60 cases of TST and PPH in the same period between May 2017 and July 2017 in the Department of Colorectal, People′s hospital of Zhengzhou were analyzed retrospectively.

Results

TST and PPH both relieved prolapse and bleeding significantly, there were no significant difference (P>0.05), but anal bulge and postoperative complications were statistically significant (P<0.05), anastomotic stenosis were no significant difference (P>0.05).

Conclusion

TST is individualized, minimally invasive, precise feasible and effective treatment for Ⅲ~Ⅳ degree of hemorrhoids.

Key words: Hemorrhoids, TST, PPH, Ⅲ~Ⅳ degree of hemorrhoids, Comparison of efficacy

Yewei Deng, Zhaojie Xu, Shengwei Zhang. Comparison of efficacy on Ⅲ~Ⅳdegree of hemorrhoids between tissue-selecting therapy and procedure for prolapse and hemorrhoids[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(02): 176-178.

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References 14

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组别	例数	手术时间（min）	术中出血（mL）	住院时间（d）
PPH组	30	20.0±5.0	10.0±2.0	7.0±3.0
TST组	30	10.0±3.0	3.0±2.5	5.0±2.0
t值	?	23.108	20.219	5.157
P值	?	<0.05	<0.05	<0.05

组别	例数	手术时间（min）	术中出血（mL）	住院时间（d）
PPH组	30	20.0±5.0	10.0±2.0	7.0±3.0
TST组	30	10.0±3.0	3.0±2.5	5.0±2.0
t值	?	23.108	20.219	5.157
P值	?	<0.05	<0.05	<0.05

症状	PPH组			TST组			χ²值	P值
症状	术前（n）	术后（n）	缓解率（%）	术前（n）	术后（n）	缓解率（%）	χ²值	P值
脱出	26	3	88.5	26	2	92.3	0.008	0.927
便血	30	2	93.3	22	2	91.0	0.105	0.746
疼痛	20	3	85.0	18	12	66.7	10.585	0.001

症状	PPH组			TST组			χ²值	P值
症状	术前（n）	术后（n）	缓解率（%）	术前（n）	术后（n）	缓解率（%）	χ²值	P值
脱出	26	3	88.5	26	2	92.3	0.008	0.927
便血	30	2	93.3	22	2	91.0	0.105	0.746
疼痛	20	3	85.0	18	12	66.7	10.585	0.001

组别	例数	肛门下坠	吻合口狭窄
PPH组	30	12（40.0）	2（6.6）
TST组	30	3（10.0）	0（0）
χ²值	?	7.2	?
P值	?	<0.05	>0.05^*

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