[摘要] 目的 观察选择性痔上粘膜切除钉合术(TST)治疗痔病的临床疗效。方法选择198例Ⅲ∽Ⅳ痔病病人，随机分为2组，治疗组108人采用TST治疗，对照组90人采用传统的外剥内扎治疗。观察两组患者术中出血及术后出血症状的疗效以及手术持续时间、住院时间、费用、手术副作用(肛门疼痛、肛门水肿、尿潴留)等情况进行统计学分析比较。结果 治疗组住院时间、费用、手术时间、术中出血量、肛门狭窄疼痛、水肿发生率与对照组比较，差异有统计学意义(p<0.05)。结论TST 手术治疗痔病是一种疗效满意而且愈合恢复更快的新术式，有效地保护了肛垫，是安全可靠的术式，具有操作简单、手术时间短、住院时间短，并发症少等优点，值得进一步推广。

[Abstract] Objective To observe and evaluate the selective hemorrhoid studs of mucosal resection combined surgery（TST）the clinical curative effect of treating hemorrhoids sickness. Methods 198 patients with Ⅲ∽Ⅳdegree hemorrhoids，were evenly randomized to TST(treatment group)and Milligan-Morgan(M-M) haemorrhoidectomy (control group) respectively．Operation time，blood loss at surgery，post-operative cure rate of prolapse and bleeding were compared．significant postoperative anal pain，incontinence anal stenosis, and length of stay． Results The operating and wound healing times and hospital stays were and respectively in TST group，all significantly shorter than in Milligan—Morgan group(P<0．01)．We observe the treatment effect about the intraoperative stretch reflex feelings and the intraoperative and postoperative haemorrhage, and surgery side effects including anal ache, oedem, uroschesis and postoperative anal function. While there was significant difference in both. Conclusions As compared with the traditional Milligan-Morgan operation．TST is a safe and effective procedure for Ⅲ and IV degree hemorrhoids．The disease recover faster. It has any advantages of simple about operation, short times about operation and hosptial and less complications, so the technique is worth recommending.