Procedure for prolapsed hemorrhoids treatment for Ⅲ, Ⅳ hemorrhoids efficacy
10.3760/cma.j.issn.1673-4203.2012.12.009
- VernacularTitle:吻合器痔上黏膜环切术治疗Ⅲ、Ⅳ期环状内痔疗效分析
- Author:
Jianhui MIAO
;
Jiong MA
;
Hongyan DING
;
Bao YUAN
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Postoperative complications;
Treatment outcome;
Procedure for prolapsed hemorrhoids
- From:
International Journal of Surgery
2012;(12):816-819
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the consistent long-term clinical efficacy of the procedure for prolapsed hemorrhoids (PPH) treatment for hemorrhoids.Methods Data of 87 patients with third-and fourth-degree hemorrhoids treated by surgical procedure for prolapsed hemorrhoids were collected.In all cases,third-degree hemorrhoids in 65 cases,fourth-degree hemorrhoids in 22 cases,median followed up after PPH was (3.8 ± 0.5) years.The long-term efficacy and the occurrence of complications were followed up to assess the effect of surgical procedure for prolapsed hemorrhoids.Results In patients with third-degree hemorrhoids,bleeding recurred in 2 cases (3.1％) for again bleeding,for anal bulge in 4 cases (6.2％).In patients with fourth-degree hemorrhoids,prolapse recurred in 2 cases (9.1％) for bleeding in 5 cases (22.7％).anal bulge 3 patients (13.6％),defecation difficult in one case (4.5％),one-degree of fecal incontinence in 1 case (4.5％),no other complications found,such as anal pain,anal stenosis,foreign body discomfort and fecal urgency.The chi-square test for comparison analysis suggested that:third-degree hemorrhoids postoperative prolapse and bleeding recurrence rate was significantly lower than fourth-degree hemorrhoids.Conclusions Procedure for prolapsed hemorrhoids treatment for hemorrhoids is safe and feasible,has small trauma,little pain,and definite efficacy,fewer complications,shorter hospital stay,lower reoperation rate,etc.But the long-term efficacy for third-degree hemorrhoids is superior to the fourth-degree hemorrhoids.
