摘要
Abstract
Objective To compare the clinical efficacy and safety of three kinds of surgery including tissue-selecting therapy stapler (TST), automatic ligation of hemorrhoids (ALH) and rectal mucosa columnar ligation (RMCL) in the treatment of rectal mucosal prolapse. Methods The clinical data of 138 patients of rectal mucosal prolapse admitted in our hospital from January 2013 to April 2016, who underwent TST, ALH or RMCL, were analyzed retrospectively. Their clinical curative effect and complications were compared. Results In comparison of pain score of the TST group, the ALH group and the RMCL group on the 1st, 2nd, 3rd and 4th d after operation, there were differences in the VAS scores of the three groups at different time points (P < 0.05). There were differences in the VAS scores in resting state among the three groups, the VAS scores were lower and the pain was milder in the TST group and the ALH group than in the RMCL group (P < 0.05). The change trend of the VAS scores had no difference among the three groups (P > 0.05). There were significant differences in the operative time, the hospitalization time, the intraoperative blood loss and the hospitalization expenses between the TST group and the RMCL group, the ALH group and the RMCL group (P < 0.05). There was no significant difference in the operation time, the time of hospitalization, the amount of intraoperative bleeding or the hospitalization expenses between the TST group and the ALH group (P > 0.05). The overall incidence of postoperative complications in the TST, ALH and RMCL groups were 14.5% (8/55), 19.6% (9/46) and 48.6% (18/37), respectively; the incidences of complications in the TST and ALH groups were lower than that in the RMCL group (P < 0.05), while there was no significant difference between the TST group and the ALH group (P > 0.05). The effective rates of TST, ALH and RMCL for the treatment of rectal prolapse were 94.5%, 95.7% and 70.2%, respectively; the effective rates of the TST and ALH groups were higher than that of the RMCL group (P < 0.05), but there was no significant difference between the TST group and the ALH group (P > 0.05). Conclusions TST and ALH can be used for the treatment of rectal mucosal prolapse. Their recent curative effect is exact, with short operation time, little bleeding, mild pain and few complications. They are worthy of popularization and application.关键词
直肠黏膜脱垂/吻合器痔上黏膜选择性切除术/痔上黏膜自动套扎术/直肠黏膜柱状结扎术/临床效果Key words
ectal mucosal prolapse/tissue-selecting therapy stapler/automatic ligation of hemorrhoids/rectal columnar ligation/clinical effect分类
医药卫生
