The Clinical Study Of Modified TST For Mixed Hemorrhoids

Objective: Through strict clinical randomized controlled trials,systematicobservation was made on the clinical efficacy and postoperativecomplications of modified TST,TST and PPH for mixed hemorrhoids,and theadvantages and disadvantages of modified TST were verified to betterprovide clinical and patient services.Methods: This topic were randomly collected on January 1,2014 to January1,2015 in anorectal hospital in chengdu,mianyang anorectal hospital,dayicounty hospital three hospitals improve the TST,a total of 120 patients withPPH and TST,sorting through clinical case study report and telephone pays areturn visit,comparison of three surgical treatment the clinical curativeeffect of mixed hemorrhoid surgery and postoperative complications,including evaluation of curative effect,surgical specimen quality,postoperative flabby skin residue),length of hospital stay,postoperative firstbowel movement,raphe pierced hemostatic operation situation and situationof postoperative urine,anal belly,postoperative pain,postoperative anal edgeindices such as edema,the clinical curative effect and complications andpostoperative 6 months and 1 year comparative effectiveness,the resultswere analyzed.Results: 1.In terms of the amount of excision of the specimen and theresidual amount of the skin after surgery: the modified TST was better thanthe TST group,P < 0.05,and the comparison between the two was statistically significant.Compared with the PPH group,P > 0.05,thecomparison was not statistically significant.2.In terms of length of hospitalstay: TST group was less than PPH group,P < 0.05,which was statisticallysignificant.The modified TST was compared with PPH and TST,P > 0.05,which was not statistically significant.For the first bowel movement aftersurgery,the modified TST and TST group fecal scores were lower than PPHgroup,P < 0.05,which was statistically significant.Compared with themodified TST and TST,P > 0.05,the comparison was not statisticallysignificant.3.In the case of intraoperative suture and hemostasis,the score ofthe modified TST and TST group was lower than PPH group,P < 0.05,whichwas statistically significant.Compared with modified TST and TST,P >0.05,the comparison was not statistically significant.There was no statisticalsignificance in the three groups of urination(P >0.05).Postoperative painand postoperative anal edge edema: 1d after the operation,three sets of nostatistical significance,3d,7d,modified TST and TST group over PPH,P <0.05,statistically significant;Postoperative belly,postoperative 1 d ?3 d,three groups has no statistical significance(P > 0.05),postoperative 7 d,themodified TST and TST group is better than PPH group,P < 0.05,withstatistical significance.Anal stricture: the modified TST group and TST groupwere less than PPH group,P < 0.05,which was statistically significant.Efficacy comparison: in June,the efficacy of the three groups was notstatistically significant(P > 0.05).In the first year of surgery,The curative effect of modified TST and PPH group was better than that of TST group,P <0.05,with statistical significance.There was no difference in the curativeeffect between modified TST group and PPH group,P > 0.05,no statisticalsignificance.Conclusion: The improved TST technique not only effectively retains theadvantage of the original operation to protect the anal tissue;Moreover,it hasa better suspension effect on the anal tissue,and it is an effective and safemethod to treat hemorrhoids while improving clinical efficacy and reducingcomplications.