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Effect of automatic ligation of hemorrhoids combined with scissors ligation in the treatment of mixed hemorrhoids |
WAN Yue-ming CHEN Ying-ju LI Xiao-yan MO Peng-shi LIANG Yong-hui |
Department of General Surgery,Shunde Hospital Affiliated to Guangzhou Medical University,Shunde District Lecong hospital of Foshan City,Guangdong Province,Foshan 528315,China |
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Abstract Objective To investigate the efficacy of automatic ligation of hemorrhoids (RPH)combined with incision ligation in the treatment of mixed hemorrhoids.Methods A total of 200 mixed hemorrhoids patients admitted to our hospital from January 2015 to March 2017 were selected and divided into control group and combined operation group by random number table method,with 100 cases in each group.The control group was treated with scissors ligation,while the combined operation group was treated with RPH combined with scissors ligation.The curative effect of the two groups of mixed hemorrhoids was compared.Postoperative discharge time and average wound healing time.Before and after the operation,the patient′s anal canal rest pressure,diastolic pressure,maximum systolic pressure,and the total incidence of complications.Results The total effective rate of the combined operation group was higher than that of the control group,the differences were statistically significant(P<0.05).Before surgery,there was no statistical difference between the two groups(P>0.05),in the static pressure,diastolic pressure and maximum systolic pressure of anal canal.After the operation,the anal canal rest pressure,diastolic pressure and maximum systolic pressure in the combined operation group were lower than those in the control group,the differences were statistically significant(P<0.05).The postoperative discharge time and average wound healing time in the combined operation group were shorter than those in the control group the differences were statistically significant(P<0.05).The total incidence of complications in the combined operation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion RPH combined with incision ligation is effective in treating mixed hemorrhoids.It can effectively accelerate wound healing,reduce complications,improve anal diastolic pressure and systolic pressure.It is beneficial to shorten hospitalization time and better improve the quality of life of patients.It is worth promoting.
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