Thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoidsin the treatment of incarcerated circumferential mixed hemorrhoids
10.3969/j.issn.1671-8348.2017.14.022
- VernacularTitle:血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析
- Author:
Hui YE
;
Qichang ZHOU
;
Zhilin GONG
;
Jie YU
;
Shujuan HUANG
;
Changlei XI
;
Longlei CAO
;
Qun QIAN
;
Congqing JIANG
- Keywords:
anus diseases;
hemorrhoids;
postoperative complications;
thrombus;
procedure for prolapse and hemorrhoids;
mixed hemorrhoid;
incarceration;
milligan-morgan
- From:
Chongqing Medicine
2017;46(14):1938-1940
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoids(PPH) in the treatment of circumferential mixed hemorrhoid with incarceration.Methods A total of 118 cases of circumferential mixed hemorrhoid with incarceration were divided into two groups:experimental group of 60 cases was treated by thrombus removal combined with PPH;control group of 58 cases was treated by Milligan-Morgan.We observed the differences of postoperative visual analogue scale (VAS)score,edema,bleeding,residual skin tag,wound healing time,anal stenosis,fecal incontinence,anorectal manometry and satisfaction in the two groups.Results There was significant difference between the experimental group and the control group in postoperative edema,bleeding and residual skin tag(χ2=6.63,4.19,6.64,P<0.05),but postoperative anal stenosis and fecal incontinence weren′t statistically significant different(χ2=0.38,1.11,P>0.05).Postoperative VAS score,wound healing time,satisfaction,anal resting and anal maximal squeeze pressure between the two groups were all statistically different(P<0.01).Conclusion The operation of thrombus removal of external hemorrhoid combined with PPH can effectively reduce the postoperative complications and promote recovery.
