Effect of automatic ligation of hemorrhoids combined with external hemorrhoid excision and suture on wound healing time and complications in patients with annular prolapse mixed hemorrhoids
RUAN Yong-jun LANG Jin-yuan LIU Ru-feng
Department of General Surgery,Lianjiang People′s Hospital,Guangdong Province,Lianjiang 524400,China
Abstract:Objective To investigate the effect of automatic ligation of hemorrhoids (RPH) combined with external hemorrhoid excision and suture on wound healing time and complications in patients with annular prolapse mixed hemorrhoids.Methods A total of 64 patients with annular prolapse mixed hemorrhoids admitted to the Department of Anorectal in Lianjiang People′s Hospital from April 2018 to April 2020 were selected as the research subjects for retrospective analysis,and the patients were divided into the reference group (n=32) and the research group (n=32) according to different treatment methods.The control group was treated with traditional internal ligation and external stripping,while the research group was treated with RPH combined with external hemorrhoid excision and suture.The total effective rate,wound healing time,hospitalization time,first defecation pain score,anal function and the total incidence of complications were observed and compared between the two groups.Results The total effective rate of the study group was higher than that of the reference group,and the difference was statistically significant (P<0.05).The total incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant (P<0.05).The wound healing time and hospitalization time of the study group were shorter than those of the control group,and the score of first defecation pain was lower than that of the control group,the differences were statistically significant (P<0.05).After treatment,the resting pressure and diastolic pressure of anal canal in the study group were higher than those in the reference group,and the differences were statistically significant (P<0.05).Conclusion RPH combined with external hemorrhoids resection and suture is effective in the treatment of annular prolapse mixed hemorrhoids.It can not only shorten the wound healing time and hospitalization time,but also relieve the pain of the first defecation,promote the recovery of anal function,and reduce the incidence of complications.
阮永军;郎金元;刘如锋. 痔疮自动套扎术联合外痔切除缝合术对环状脱垂性混合痔患者创面愈合时间及并发症的影响[J]. 中国当代医药, 2021, 28(5): 78-81.
RUAN Yong-jun;LANG Jin-yuan;LIU Ru-feng. Effect of automatic ligation of hemorrhoids combined with external hemorrhoid excision and suture on wound healing time and complications in patients with annular prolapse mixed hemorrhoids. 中国当代医药, 2021, 28(5): 78-81.