吻合器痔上黏膜环切订合术联合聚桂醇硬化剂注射治疗重度痔：86例疗效分析

doi:10.16260/j.cnki.1009-2188.2017.01.006

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (1): 22-26 DOI: 10.16260/j.cnki.1009-2188.2017.01.006

Clinical Research

Clinical Effect on Procedure for Prolapse and Hemorrhoids Combined with Sclerotherapy of Lauromacrogol Injection for Severe Hemorrhoids: 86 Cases Reports

LEI Qingjun1, ZHANG Yiqiang1, WANG Yi1, HE Xiangdong2

1.Department of General Surgery， the First People's Hospital of Taicang，Taicang 215400, Jiangsu, China; 2.Department of Colorectal Surgery，Traditional Chinese Hospital of Xi'an，Xi'an 710021, Shaanxi, China

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Abstract ObjectiveTo explore the clinical efficacy of procedure for prolapse and hemorrhoids (PPH) combined with sclerotherapy of lauromacrogol injection for treatment of severe hemorrhoids.MethodsA total of 170 cases with severe hemorrhoids (Ⅲ or Ⅳ stage) were randomized into two groups: The treatment group (n=86) were treated by PPH combined with sclerotherapy lauromacrogol injection， and the control group (n=84) were performed the MilliganMorgan haemorrhoidectomy combined with sclerotherapy of lauromacrogol injection. The perioperative outcomes, clinical effect and postoperative complication were compared between two groups.ResultsThe average operative duration and hospital stays was (23.25±3.41)min and (5.20±0.94)d respectively in the treatment group, and was (60.11±4.85)min and (12.57±1.52)d respectively in the control group. There was statistical difference in operative duration and hospital stays between two groups, the treatment group was better （P<0.05）. The total result revealed the effective rate of the treatment group was 95.3% and 96.5% in prolapse symptom and hemorrhage symptom, both were higher than 85.7% and 88.1% of the control group (P<0.05). The postoperative complication of anal pain, analedge edema and dysuria was less in the treatment group than those in the control group (P<0.05), but there was no statistical difference in abnormal defecation between two groups (P>0.05). No anal stenosis was found during followup in both groups.ConclusionThe treatment of PPH combined with sclerotherapy of lauromacrogol injection is an effective therapy for severe hemorrhoids with less damage of the anal function, reliable effect and simple operating.

Key words： hemorrhoids procedure for prolapse and hemorrhoids（PPH） sclerotherapy lauromacrogol MilliganMorgan procedure

Published: 25 May 2018

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R683.42

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	雷庆军1，张毅强1，王益1，贺向东2

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雷庆军1，张毅强1，王益1，贺向东2. Clinical Effect on Procedure for Prolapse and Hemorrhoids Combined with Sclerotherapy of Lauromacrogol Injection for Severe Hemorrhoids: 86 Cases Reports[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 22-26.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.01.006 OR http://www.surgerychina.com/EN/Y2017/V21/I1/22

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