超声刀联合混合痔外剥内扎术对Ⅲ期和Ⅳ期混合痔患者的疗效

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Abstract ObjectiveTo investigate the curative effect of harmonic scalpel combined with milligan-morgan hemorrhoidectomy of mixed hemorrhoids treating patients with stageⅢandⅣof mixed hemorrhoids.MethodsClinical data of 76 patients with stageⅢandⅣ of mixed hemorrhoids treated in our hospital from July 2015 to August 2016 were retrospectively analyzed.The patients were divided into the routine group(n=40)and the combined group(n=36)according to different operation modes.The routine group was treated with milligan-morgan hemorrhoidectomy while the combined group was treated with harmonic scalpel combined with milligan-morgan hemorrhoidectomy.The operative status (operative time,intraoperative bleeding volume,postoperative pain,anal edema and wound healing time)were compared between the two groups.All cases were followed up for 3-5 months after operation.The recurrence and anal stenosis were observed.ResultsThe operative time,intraoperative bleeding volume and wound healing time of the combined group were significantly shorter or less than those of the routine group (P<0.05).Cases withⅠ andⅡ degree of edema in the combined group were significantly fewer than the routine group(P<0.05).There was no significant difference between the two groups in postoperative pain(P>0.05).The recurrence rate showed no significant difference between the two groups (15.00%vs.5.56%)(P>0.05).The incidence of anal stenosis was significantly higher in the routine group than the combined group(20.00%vs.2.78%)(P<0.05).ConclusionCompared with traditional milligan-morgan hemorrhoidectomy,harmonic scalpel combined with milligan-morgan hemorrhoidectomy can significantly shorten the operation time and wound healing time,reduce the intraoperative bleeding volume,alleviate postoperative wound edge edema and reduce the postoperative complications such as anal stenosis in patients with stageⅢandⅣof mixed hemorrhoids.

Key words： Harmonic scalpel Mixed hemorrhoids Milligan-morgan hemorrhoidectomy Clinical curative effect

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	ZHOU Jian
	GENG Yan
	HE Hai-rong

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ZHOU Jian,GENG Yan,HE Hai-rong. Curative effect of harmonic scalpel combined with milligan-morgan hemorrhoidectomy of mixed hemorrhoids on patients with stageⅢandⅣof mixed hemorrhoids[J]. 中国当代医药, 2017, 24(11): 28-30.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I11/28

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