An analysis on the clinical effects of procedure for prolapse and hemor-rhoids combined with external hemorrhoidectomy in the treatment of mixed hemorrhoid
- VernacularTitle:痔上黏膜环形切除术与外痔切除术联合治疗混合痔的临床疗效分析
- Author:
Weifeng WANG
1
;
Chengjiang XIANG
;
Jinhao LIANG
;
Yan CHEN
Author Information
1. 浙江省嵊州市人民医院普外科
- Keywords:
Procedure for prolapse and hemorrhoids;
External hemorrhoidectomy;
Combined;
Mix hemorrhoid
- From:
China Modern Doctor
2015;(11):45-47,51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical effects of procedure for prolapse and hemorrhoids combined with external hemorrhoidectomy in the treatment of mixed hemorrhoid. Methods Clinical data of 108 patients with mix hemorrhoid who were admitted to our hospital from January 2012 to January 2014 were retrospectively analyzed. The 108 patients were assigned to an observation group and a control group according to the surgical procedures. 54 patients in the ob-servation group received procedure for prolapse and hemorrhoids combined with external hemorrhoidectomy, and 54 pa-tients in the control group received the conventional Milligan-Morgan operation. Each clinical index, pain conditions within 3 days after surgery and complications within 6 months after the surgery in the two groups were compared. Re-sults Surgery time, amount of bleeding during surgery, hospitalization time, and hospitalization expenses in the observa-tion group were all significantly better than those in the control group, and the differences were statistically significant (P<0.05). Pain scores in 24 h, 48 h, and 72 h after the surgery in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). In 24 h, 48 h and 72 h after the surgery, patients in the observation group had suffered less pain than those in the control group. Except for one of the patients who had complications before the surgery, total incidence of complications within 6 months after the surgery in the observation group was 18.51%, significantly lower than that of 81.50% in the control group, and the difference was statistically significant(P<0.05). Conclusion The procedure for prolapse and hemorrhoids combined with external hemor-rhoidectomy in the treatment of mix hemorrhoid has favorable effects of lower pain degree and less incidence of com-plications, and the combined procedure is suitable to be further promoted and applied clinically.
