Abstract: ?Objective?To investigate the effect of purse-string suturedepth in tissue selecting therapy stapler (TST) for the treatment of mixedhemorrhoid with grade Ⅲ and Ⅳ.Methods?A total of 140 mixedhemorrhoid cases performed TST in ourhospital from March 2016 to February 2017 weredivided into the observation group with a slight of smooth muscle tissue (n=73) and control group without smooth muscle tissue (n=67) according to pathological result of excisional rectal mucous tissue.Thehemorrhoids was graded Ⅲ in 61cases and Ⅳ in 12 cases of the observation group,and Ⅲ in 50 cases and Ⅳ in 17 cases of the control group.Results?The intra-operative bleeding volume,the intra-operative transfixion ratedue to active bleeding of anastomotic stoma,the anal swelling,the weight and volume of the resected tissue and the edema of anal edge at 3-,7- and 10days after the surgery in the observation group were better than those in the control group (P<0.05).There was no statisticaldifference in postoperative pain score between the two groups (P>0.05).No anal stenosis and anal incontinence was found in both groups after 3 to 6 months follow-up.The recurrence rate was 4.10% of the observation group,and was lower than 13.43% of the control group,and thedifference was statistically between the two groups (P<0.05).Conclusion?Thedepth of purse string suture to the rectal wall with slight muscle layer in TST can reduce the incidence of postoperative complications and the long-term recurrence rate.
程志强. TST术中荷包缝合深度对治疗Ⅲ～Ⅳ度混合痔临床疗效的影响[J]. 中国现代手术学杂志, 2018, 22(1): 22-25.
CHENG Zhi-qiang. The Effect on the Depth of Purse-string Suture in Tissue Selecting Technique for Mixed Hemorrhoid withGrade Ⅲ and Ⅳ. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 22-25.
2018, Vol. 22 
