The clinical curative effect of PPH combined haemorrhoidectomy in the treatment of mixed hemorrhoids
ZOU Liangwang1, XU Lijuan2, ZHANG Wei1, SHAN Yunfeng3
1.Department of Surgery, Wenzhou Longwan First People’s Hospital, Wenzhou, 325024; 2.Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 3.Department of Hepatobiliary Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015
ZOU Liangwang,XU Lijuan,ZHANG Wei, et al. The clinical curative effect of PPH combined haemorrhoidectomy in the treatment of mixed hemorrhoids[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(10): 762-765,770.
Abstract：Objective: To explore the clinical curative effect of patients with mixed hemorrhoids who underwent the surgical treatment of procedure for prolapsed and hemorihoids (PPH) combined haemorrhoidectomy. Methods: Ninety-four patients with mixed hemorrhoid from Wenzhou Longwan First People’s Hospital in October 2013 to April 2016 were included. All of the 94 patients with mixed hemorrhoid were divided into treatment group (46 cases) and control group (48 cases). The treatment group underwent PPH combined haemorrhoidectomy, while the control group underwent Milligan-Morgan. Then the operation duration, intraoperative blood loss, postoperative wound bleeding, postoperative defecate difficulty, postoperative days of indwelling a urinary catheter, the postoperative pain scores of the anus, hospitalization cost and the follow-up of relapse, etc. were compared between two groups. Results: Two groups of patients all were discharged from hospital. Although in the operation time, postoperative days of indwelling a urinary catheter and hospitalization cost of treatment group were inferior to that in control group (P<0.05), but the intraoperative blood loss, postoperative wound bleeding, postoperative defecate difficulty, the postoperative pain scores of the anus and the follow-up of relapse, etc. of treatment group were superior to that in control group (P<0.05). Conclusion: The clinical effect and security of PPH combined haemorrhoidectomy is more higher than that of conventional surgical treatment in mixed hemorrhoids.
