Long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids
10.3969/j.issn.1671-8348.2014.24.024
- VernacularTitle:PPH 联合部分肛门内括约肌切断术治疗重度混合痔远期疗效及安全性的临床研究
- Author:
Shangming GAO
;
Yao ZHAO
;
Hai GUO
;
Xiaofeng ZHAO
- Publication Type:Journal Article
- Keywords:
mixed hemorrhoids;
PPH;
partial internal anal sphincterotomy;
the long-time efficacy;
safety
- From:
Chongqing Medicine
2014;(24):3187-3188,3191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and evaluate the long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids .Methods Choose 103 patients who were diagnosed with severe mixed hemorrhoids from May 2008 to May 2010 .Then divided these patients into the experimental group of 52 patients and the control group of 51 patients ,randomly . The patients of experimental group were treated by PPH plus partial internal anal sphincterotomy ,and the patients of control group were treated by the simple PPH operation .Have a postoperative followed up for 24 months to check and compare the long-term ef-ficacy and safety of two groups .Results The incidence of prolapse recurrence ,anus pain and hemafecia in experimental group were significantly lower than that in control group(P<0 .05) ,there was no significance of the anal incontinence and anal stenosis in two groups(P>0 .05) .Conclusion The therapy of the PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids can significantly reduce the recurrence ,and improve the long-time efficacy ,but not to increase additional risk .