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Clinical application of hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature treating mixed hemorrhoids |
ZENG Ling-quan1 ZHU Jun-jie1 XIE Ye-qing1 YANG Feng1 CHEN Yong-ying2 |
1.Department of Anorectum,Ganzhou Municipal Hospital in Jiangxi Province,Ganzhou341000,China;
2.Department of Gastroenterology,Ganzhou People′s Hospital in Jiangxi Province,Ganzhou341000,China |
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Abstract ObjectiveTo compare the clinical effect of hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature,procedure for prolapse and hemorrhoids(PPH)and milligan-morgan hemorrhoidectomy trerating mixed hemorrhoids.MethodsNinety hospitalized patients with mixed hemorrhoids in Department of Anorectum,Ganzhou Municipal Hospital from November 2015 to December 2016 were selected as objects and they were randomly divided into treatment group,control group A and control group B and there were 30 cases in each group.Treatment group was given hemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature,control group A was given PPH operation,while control group B was given milligan-morgan hemorrhoidectomy.The operation time,intraoperative blood loss,hospital stay,hospitalization cost and incidence of complication in two groups were observed.ResultsThe hospital stay,the hospitalization cost and intraoperative blood loss in treatment group were significantly lower than those in control group A and control group B,and there was a statistical difference(P<0.05),and there was no significant difference of the operation time among the three groups(P>0.05).The difference of bleeding among the three groups after 7 d operation was statistically significant(Z=-4.128,P<0.01).There was no significant difference of prolapse among the three groups at each time point after operation(P>0.05).ConclusionHemorrhoidal mucosa transfixion combined with external dissection(cut)and internal“hui”ligature treating mixed hemorrhoids has a ideal effect and it is worthy of promotion and application.
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[2] |
李积良,王继宁.一次性痔上黏膜环切吻合器保护肛垫加痔动脉结扎综合治疗混合痔的临床应用[J].中国医师杂志,2016,18(s1):98-99.
|
[3] |
甄熙奎,左进,郭有雷,等.PPH治疗混合痔32例临床体会[J].甘肃医药,2010,29(5):547-548.
|
[4] |
杨博,杨润清,张忠伟,等.吻合器痔上黏膜环切术与直肠黏膜柱状缝扎术治疗出口梗阻型便秘的临床疗效对比[J].新疆医科大学学报,2016,39(4):464-467.
|
[5] |
王春雨.环纵修剪加缝扎注射术治疗环形混合痔320例临床分析[J].科技视界,2013,12(35):389.
|
[1] |
陈龑,张巍,汪庆明,等.硬化剂注射结合超声引导下痔动脉结扎术治疗Ⅱ~Ⅲ度内痔临床观察[J].上海中医药大学学报,2014,48(4):79-81.
|
[6] |
秦晓静.痔上粘膜结扎加外剥术治疗环状混合痔的临床观察[J].云南中医中药杂志,2013,34(3):85-86.
|
[7] |
李志刚,王倩倩,甄朋超,等.痔上黏膜套扎术结合痔核剥切技术在治疗高龄患者Ⅲ~Ⅳ度混合痔中的临床价值[J].中国医药导报,2015,12(23):108-112.
|
[8] |
王小牛.吻合器痔上黏膜环形切除钉合术治疗混合痔的临床应用[J].安徽医学,2013,34(9):1317-1318.
|
[9] |
叶升福.剥离切除加痔动脉结扎柱状缝合术治疗混合痔及术后应用麻仁软胶囊防治便秘的临床观察[J].中草药,2014,45(9):1297-1299.
|
[10] |
谢琦,居同法,任华,等.保留齿状线痔上黏膜套扎外痔切剥术治疗混合痔[J].中国中西医结合外科杂志,2014,20(3):243-245.
|
[11] |
周立青,鲁丹.痔上黏膜套扎术治疗混合痔80例的临床观察[J].结直肠肛门外科,2013,19(3):157-159.
|
[12] |
黄丽娟,费业华.分段结扎联合内括约肌部分切断术治疗环状混合痔的临床应用[J].哈尔滨医药,2013,33(6):431.
|
[13] |
路来社.外痔剥除缝合内痔结扎联合高频电刀治疗混合痔的疗效观察[J].延安大学学报:医学科学版,2016,14(2):31-34.
|
[14] |
施捷,金杰,李建中,等.内痔套扎加缚扎固定法外痔剥切缝合术治疗混合痔临床疗效观察[J].辽宁中医药大学学报,2014,8(3):188-190,
|
[15] |
杨进山,齐保聚.外剥内扎术和痔上黏膜环切术治疗老年环状混合痔疗效比较[J].现代中西医结合杂志,2013,22(15):1648-1650,
|
[16] |
谢道军,吴克松,蒋子文,等.痔上黏膜缝扎联合高频电刀治疗痔疮的临床观察[J].现代诊断与治疗,2013,24(3):499-500.
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