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| Clinical effect of external hemorrhoidectomy combined with elastic line internal hemorrhoid ligation in the treatment of mixed hemorrhoids of grade Ⅲand Ⅳ |
| WU Wei-guo1 WU Xue-qing2 WANG Zhi-liang1 |
1.Department of General Surgery,Fuzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Fuzhou 344000,China;
2.Central Hospital of Rongshan Town in Linchuan District of Fuzhou City,Jiangxi Province,Fuzhou 344000,China |
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Abstract Objective To investigate the clinical effect of external hemorrhoidectomy combined with elastic line internal hemorrhoid ligation in the treatment of mixed sputum of grade Ⅲand Ⅳ.Methods Seventy patients with mixed sputum of grade Ⅲand Ⅳwho were admitted to Fuzhou Hospital of Traditional Chinese Medicine from January to December 2018 were selected as subjects.They were divided into observation group(n=35)and control group(n=35)by computer blind selection method.The control group was treated with mixed external hemorrhoids and internal ligation.The observation group was treated with external hemorrhoidectomy and elastic line internal hemorrhoid ligation.The operation time,intraoperative blood loss,hospitalization time,symptom score,recurrence rate,total complication rate and total treatment efficiency of the two groups were compared.Results The operation time,hospitalization time and wound healing time of the observation group were shorter than those of the control group,and the differences were statistically significant(P＜0.05).The intraoperative blood loss in the observation group was less than that in the control group,the total effective rate was higher than that of the control group,and the differences were statistically significant(P＜0.05).Before treatment,the symptomscores of pain,edema and blood in the stool in the two groups showed no significant differences(P＞0.05).After treatment,the symptom scores of pain,edema and blood in the stool in the observation group were lower than those in the control group,with statistically significant differences(P＜0.05).The total incidence of complications and recurrence rate in the observation group were not significantly different from those in the control group(P＞0.05).Conclusion The treatment of mixed hemorrhoids of grade Ⅲand Ⅳwith external hemorrhoidectomy and elastic line internal hemorrhoid ligation can significantly improve or eliminate various clinical conditions,improve the efficiency of surgical treatment,and the effect is stable.It is worthy of clinical application.
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| [1] |
张茜，贝绍生，李宇飞，等.超声刀外痔切除联合弹力线内痔套扎术治疗Ⅲ、Ⅳ度混合痔体会[J].结直肠肛门外科，2017，11（2）：257-259.
|
| [2] |
中华医学会外科学分会肛肠外科学组.痔临床诊治指南（草案）[J].中华胃肠外科杂志，2004，10（5）：415-416.
|
| [3] |
周剑，耿岩，何海荣.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[J].中国当代医药，2017，24（11）：28-30.
|
| [4] |
王小龙，郑学海，谢贻祥，等.PPH 联合超声刀痔切除在重度混合痔中的临床观察[J].安徽医药，2015，2（8）：1495-1498.
|
| [5] |
张雷，常伟平.超声刀联合痔上黏膜环切术治疗重度脱垂型混合痔的临床效果[J].临床医学研究与实践，2017，2（24）：104-105.
|
| [6] |
项雄华，金海波，刘丽丽.超声多普勒引导下痔动脉结扎术联合超声刀切除术治疗重度混合痔的临床疗效观察[J].中国医师进修杂志，2016，39（8）：677-680.
|
| [7] |
唐茂山.吻合器痔上黏膜环切钉合术联合超声刀痔切除治疗重度混合痔的临床效果[J].中国医疗器械信息，2017，23（14）：94-95.
|
| [9] |
张雷，常伟平.超声刀联合痔上黏膜环切术治疗重度脱垂型混合痔的临床效果[J].临床医学研究与实践，2017，2（24）：98-99.
|
| [8] |
van Dijk D，Dekker MJHJ，Conemans EB，et al.Explorative prospective evaluation of short-term subjective effects of hormonal treatment in trans people-results from the european network for the investigation of gender incongruence[J].J Sex Med，2019，16（8）：1297-1309.
|
| [10] |
洪锦伏，林强，李蕊慧.PPH 联合超声刀治疗重度混合痔与传统外剥内扎术临床对照研究[J].牡丹江医学院学报，2017，38（2）：54-56.
|
| [11] |
张搏，王姗姗，徐月，等.弹力线套扎术与胶圈套扎术治疗Ⅲ、Ⅳ度混合痔临床观察[J].中国中医急症，2017，26（2）：351-354.
|
| [12] |
马勇，吴伟强，杨建栋，等.RPH 联合外痔切除术治疗Ⅲ～Ⅳ期混合痔的临床分析[J].西北国防医学杂志，2019，40（1）：29-34.
|
| [13] |
陈域，石秦川.混合痔术后不同止血方法的效果分析[J].实用医学杂志，2017，33（13）：2154-2156.
|
| [14] |
王静，黄峰.自动痔疮套扎、外痔切剥术与太宁栓联合治疗混合痔的临床研究[J].结直肠肛门外科，2017，11（4）：91-94.
|
| [15] |
范宜堂，丁照亮，曹军，等.自动痔疮套扎内痔套扎联合外痔翼形切除缝合术治疗老年环状混合痔的临床疗效研究[J].老年医学与保健，2018，24（6）：650-654.
|
|
|
|
