肛门整复术联合改良外剥内扎术治疗多发性混合痔的应用价值分析

doi:10.3969/j.issn.1006-6233.2024.04.028

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Abstract Objective: To analyze the application value of anal restitution combined with modified external dissection and internal ligation in multiple mixed hemorrhoids. Methods: A total of 112 patients with multiple mixed hemorrhoids undergoing surgical treatment in the hospital were retrospectively enrolled between June 2020 and March 2023. According to different surgical methods, they were divided into modified group (modified external dissection and internal ligation, n=47) and combination group (anal restitution on basis of modified group, n=65). The perioperative indexes were compared between the two groups. The curative effect and postoperative anal pain in the two groups were evaluated. The anal smoothness, edema of anal margin and hemafecia were compared before and after surgery, and the occurrence of complications was recorded. Results: The hospitalization time in combination group was shorter than that in modified group (P<0.05). The total number of effective cases in combination group was more than that in modified group (P<0.05). With time, VAS scores were gradually decreased in both group. At 1d, 3d and 5d after surgery, VAS scores in combination group were lower than those in modified group (P<0.05). At 3d after surgery, scores of anal smoothness, anal margin edema and hemafecia in combination group were lower than those in modified group, and difference values were greater than those in improved group (P<0.05). Compared with the modified group, the combination group had a lower complication rate(P<0.05). Conclusion: The curative effect of anal restitution combined with modified external dissection and internal ligation is good on multiple mixed hemorrhoids, which can relieve postoperative pain, improve anal smoothness and anal margin edema, reduce the occurrence of hemafecia and complications.

Key words： Anal restitution Modified external dissection and internal ligation Multiple mixed hemorrhoid Curative effect Complication

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2024.04.028 OR http://www.hbyxzzs.cn/EN/Y2024/V30/I4/674

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