胶圈套扎术在重度混合痔伴直肠黏膜内脱垂中的应用

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Abstract Objective To investigate the application of ring ligation in severe mixed hemorrhoids with rectal mucosal prolapse. Methods From October 2015 to September 2017, in Huai′an Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, 88 severe mixed hemorrhoids patients with internal rectal prolapse were selected, they were divided into study group (46 cases) and control group (42 cases). The control group was given Milligan surgery; study group treated with apron ligation treatment. The clinical effect, operative time, postoperative defecation time, hospitalization time, intraoperative blood loss, pain score, analgesic use in two groups were compared, the bleeding, edema, infection, delayed healing, urinary retention, anal stenosis, anal bulge and other complications were recorded and compared, patients' satisfaction after treatment was compared. Results After treatment, the clinical effect of study group was better than control group, the difference was statistically significant (P < 0.01). The operative time, postoperative defecation time, hospitalization time of study group were shorter than control group, the difference were statistically significant (P < 0.01). Intraoperative blood loss of study group was less than control group, the difference was statistically significant (P < 0.01). Postoperative pain scores of two groups reduced, and that of study group was lower than contol group, analgesic use times of study group was lower than control group, the difference were statistically significant (P < 0.01). After treatment, patients in two groups occured bleeding, edema, infection, delayed healing, urinary retention, anal stenosis, anal bulge and other complications, the compltcation rate of study group was lower than control group, the difference was statistically significant (P < 0.01). After treatment, satisfaction of study group was better than control group, the difference was statistically significant (P < 0.01). Conclusion The treatment of severe mixed hemorrhoids with rectal mucosal prolapse with rubber ring ligation can effectively shorten the hospitalization time, reduce pain and incidence of disease and improve patient satisfaction.

Key words： Ring ligation Severe mixed hemorrhoids Rectal mucosa Internal prolapse

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	ZHAO Enchun WANG Bin

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ZHAO Enchun WANG Bin. Application of ring ligation in severe mixed hemorrhoids with rectal mucosal prolapse[J]. 中国医药导报, 2018, 15(11): 116-119.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I11/116

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