Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (2): 104-107 DOI: 10．16260/j．cnki．1009 －2188．2017．02．006 |
| Clinical Research |
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| The Comparison of Clinical Effects of Stapled Hemorrhoidopexy Versus Milligan-Morgan Hemorrhoidectomy in Circumferential Hemorrhoids |
| YAO Qi-xian1，ZHANG Tian2
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| 1．Department of Anorectal Surgery，the Seventh People＇s Hospital of Suzhou，Suzhou 215151，Jiangsu，China;2．Department of Anorectal Surgery，Tranditional Chinese Medicine Hospital of Putuo District，Shanghai 200062，China |
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Abstract ObjectiveTo investigate the effectiveness of patients with circumferential hemorrhoids treated with PPH and Milligan-Morgan technique．Methods100 cases with circumferential hemorrhoids from January 2013 to January 2016 were randomly assigned to procedures for prolapse and haemorrhoids(PPH)(the observation group，50 patients)and Milligan-Morgan procedures(the control group，50 patients)．The efficacy，complications and follow-up of the two groups were observed．ResultsCompared with the pre-operation，the postoperative self-reported symptom questionnaire of bleeding，pain，prolapse and total scores in both the two groups turned lower，and the difference was statistically significant(P ＜ 0．05)．The postoperative self-reported symptom questionnaire of pain in observation group was lower than the control group(t=6．982，P ＜0．05)，while the scores of bleeding，prolapse and total one had no difference between the two groups(t=0．904，0．953，0．893，P ＞0．05)．Compared with the control group，the complication rate of pain，abdominal discomfort，anal pendant expansion in the observation group and the control groups were 8%VS 42%，14%VS 0，and 24%VS 8%respectively，and the difference was statistically significant(χ2=6．212，7．231，7．194，P ＜0．05)．And the rate of edema，urinary retention，recurrence and postoperative hemorrhage had not statistically difference(χ2=0．948，0．942，0．924，0．894，P ＞0．05)．ConclusionPPH surgical treatment of hemorrhoids is a new technology with good effect and high economic cost，which requires more strict clinical indications．
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Received: 05 February 2017
Published: 25 May 2018
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Corresponding Authors:
YAO Qi-xian
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| About author:: 姚齐贤，男，34岁，苏州市第七人民医院肛肠科主治医师。 |
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