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STARR术治疗重度环状混合痔60例临床疗效观察OA

Clinical Efficacy of STARR in Treatment of 60 Cases of Severe Annular Mixed Hemorrhoids

中文摘要英文摘要

目的:探讨经肛吻合器直肠部分切除术(STARR)治疗重度环状混合痔的临床疗效及应用价值.方法:选择2022年11月至 2024年2月,北京中医医院延庆医院接受手术治疗的120例重度环状混合痔患者,根据手术方案的不同分为观察组与对照组,每组各60例.观察组患者行STARR术治疗,对照组行外剥内扎术治疗.比较2组术中基本情况、术前及术后症状、疗效指数和并发症等.结果:观察组平均手术时间和住院时间均短于对照组(P<0.05),术中出血量少于对照组(P<0.05),临床症状疗效指数高于对照组(P<0.05),总体疗效优于对照组(P<0.05),并发症发生率低于对照组(P<0.05),患者术后生活质量评分高于对照组(P<0.05).结论:STARR术治疗重度环状混合痔临床疗效确切,能快速缓解痔症状,减少并发症的发生,值得临床推广应用.

Objective To investigate the clinical efficacy and application value of stapled transanal rectal resection(STARR)in the treatment of severe annular mixed hemorrhoids.Methods A total of 120 patients with severe annular mixed hemorrhoids who underwent surgical treatment at Yanqing Hospital,Beijing Hospi-tal of Traditional Chinese Medicine from November 2022 to February 2024 were enrolled.They were divided into the observation group and the control group according to different surgical procedures,with 60 cases in each group.The observation group was treated with STARR,while the control group was treated with Milligan-Morgan hemorrhoidectomy(MMH).The intraoperative conditions,preoperative and postoperative symp-toms,efficacy index and complications were compared between the two groups.Results The mean opera-tion time and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).The intraoperative blood loss was less than that in the control group(P<0.05).The clinical symp-tom efficacy index was higher than that in the control group(P<0.05).The overall curative effect was better than that in the control group(P<0.05).The incidence of complications was lower than that in the control group(P<0.05),and the postoperative quality of life score was higher than that in the control group(P<0.05).Conclusion STARR has definite clinical efficacy in the treatment of severe annular mixed hemor-rhoids,which can quickly relieve hemorrhoid symptoms and reduce complications.It is worthy of clinical pro-motion and application.

原瑛;耿全利;叶晋生

北京中医医院延庆医院外科(北京 102100)北京中医医院延庆医院外科(北京 102100)首都医科大学附属北京中医医院外科(北京 102100)

经肛门吻合器直肠部分切除术环状混合痔重度疗效

Stapled transanal rectal resection(STARR)Annular mixed hemorrhoidsSeverityEfficacy

《中国肛肠病杂志》 2026 (3)

31-34,4

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