Observation of the effect of procedure for prolapse and hemorrhoids and selective Milligan-Morgan hemorrhoidectomy in surgical treatment of Ⅲ ～ Ⅳ stage hemorrhoids
10.3760/cma.j.issn.1008-6706.2014.01.001
- VernacularTitle:痔上黏膜环切并选择性外剥内扎术治疗Ⅲ～Ⅳ度痔疗效观察
- Author:
Tian YANG
;
Yongming CENG
;
Huaiming WANG
;
Wei LI
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Circumferential mixed hemorrhoids;
Procedure for Prolapse and hemorrhoids;
Milligan-Morgan hemorrhoidectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(1):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical outcome of procedure for prolapse and hemorrhoids (PPH) and PPH + selective Milligan-Morgan hemorrhoidectomy(MMH) in surgical treatment of Ⅲ ～ Ⅳ stage hemorrhoids and research the best surgical procedures.Methods Retrospective analysis was made on the clinical data of 125 cases with Ⅲ ～ Ⅳ stage mixed hemorrhoids,they were non-randomized-controlled divided into PPH group (group 1) and PPH + selective MMH group(group 2),comparing the data of recurrence,complication and symptoms relief including anal prolapse,bleeding,anus fall feeling,wet anus and pruritus ani.Results While observing 3 years after operation,group 1 and group 2 both relieved symptoms of anal prolapse,bleeding,anus fall feeling,wet anus and pruritus ani.The relief rate of these symptoms in the two group were all high than 92%.There was one cases relapsed in the group 2 (the recurrence rate of 2%) was better than the group 1 (the recurrence rate of 13%) which were 8 case,there was a significant statistical significance (x2 =4.629,P ＜ 0.05) in the recurrence and clinical outcome.Conclusion Radical choose of PPH and selective MMH to treat Ⅲ ～ Ⅳ stage mixed hemorrhoids patients,which could relieve postoperative symptoms and acquire better long-term clinic outcomes.
