Influence of anal sphincterotomy to anorectal dynamics in the treatment of hemorrhoids
10.3760/cma.j.issn.1673-4904.2009.26.010
- VernacularTitle:痔手术切断肛门括约肌对肛肠动力学影响的临床研究
- Author:
Chanyu LI
;
Yu GU
;
Shusen LIN
;
Min NIE
;
Hao YU
;
Lu YUAN
;
Weiyu GUAN
;
Peng YUAN
;
Chengfei SONG
;
Mofei WANG
;
Jun WANG
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Anal canal;
Surgical procedures,operative;
Anoreetal dynamics
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(26):23-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the difference of anoreetal dynamics between Milligan-Morgan hemorrhoidectomy plus internal sphinctemtomy and simple Milligan-Morgan bemorrhoidectomy in the treatment of annulus mixed hemorrhoids.Method Measured the anal resting pressure,maximal anal contractive pressure,rectal sensation thresholds,maximal rectal tolerable dose and maximal rectal compliance 1 day before and 3 months after Milligan-Morgan hemorrhoidectomy plus internal sphincterotomy (therapy group,50 cases)and simple Milligan-Morgan bemorrhoidectomy(control group,52 cases)by anorectal manometric device made in Sweden.Results The anal resting pressures of therapy group and eontrol group reduced signifieanfly 3 months after operation compared with that 1 day before operation(P＜ 0.01 or ＜ 0.05),but there was significant difference between the two groups in 3 months after operation(P＜0.05).The maximal anal contractive pressure,reetal sensation thresholds,maximal rectal tolerable dose and maximal rectal compliance were no significant difference between the two groups in 3 months after operation (P ＞0.05).Conclusion Anal sphineterotomy can change the high anal pressure significantly in the treatment of annulus hemorrhoids without copracrasia,it is a proper operation method.
