Effect of Stapler Hemorrhoid Excision Combined with Partial Anal Sphincterotomy on Edema of Wound Margin and Anal Function after Severe Mixed Hemorrhoids Operation
WANG Meng, NING Yuyong, WU Wei, et al
General Hospital of Anhui Wanbei Coal and Power Group, Anhui Suzhou 234000, China
Abstract：Objective: To investigate the effects of surgical procedures for prolapseand oral sphincterotomy (PPH) combined with partial anal sphincterotomy for severe mixed hemorrhoids on postoperative wound edema and anal function. Methods: The data of 103 patients with severe mixed hemorrhoids admitted to the General Hospital of Anhui Wanbei Coal and Power group from January 2019 to November 2020 were retrospectively analyzed, and they were divided into the combined group (PPH + amputation, n = 52) and the control group (PPH alone, n = 51) according to different surgical methods. After 7 days of treatment, the total effective rate, postoperative edema and anal function of the two groups were observed and compared. Results: The total effective rate (100%) of the combination group was significantly higher than that of the control group (90.20%), and the difference was statistically significant (χ2=5.289, P<0.05). The postoperative edema in the combined group was significantly lighter than that in the control group, the difference was statistically significant (χ2=19.443, P<0.05). The postoperative wound edge edema score [(2.34±1.05) points] of the combined group was significantly lower than that of the control group [(5.24±2.67) points], and the difference was statistically significant (t=7.658, P<0.05). After 7 days of treatment, the difference between the anal function indicators of the anal canal resting pressure and diastolic pressure before and after treatment in the combined group was significantly higher than that of the control group, and the differences were statistically significant (t=6.449, 6.540, P<0.05). The total incidence of postoperative complications in the combined group (3.85%) was significantly lower than that in the control group (13.73%), and the difference was statistically significant (P<0.05). Conclusion: Compared with stapler hemorrhoidectomy, stapler hemorrhoidectomy combined with anal sphincterotomy in the treatment of severe mixed hemorrhoids can significantly improve the clinical efficacy, alleviate the edema of the wound margin, improve the anal function and reduce the incidence of postoperative complications.
王蒙, 宁豫勇, 武伟, 王其, 欧阳军. 吻合器痔上黏膜环切术联合部分肛门括约肌切断术对重度混合痔术后创缘水肿及肛门功能的影响[J]. 河北医学, 2021, 27(7): 1152-1156.
WANG Meng, NING Yuyong, WU Wei, et al. Effect of Stapler Hemorrhoid Excision Combined with Partial Anal Sphincterotomy on Edema of Wound Margin and Anal Function after Severe Mixed Hemorrhoids Operation. HeBei Med, 2021, 27(7): 1152-1156.
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2021, Vol. 27 
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