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Clinical observation of sectional suture ligation in the treatment of hemorrhoids.

Author: XiaoNanHui
Tutor: WangAiHua
School: Hunan University of Traditional Chinese Medicine
Course: Surgery of Chinese Medicine
Keywords: segmented ligation PPH circumferential hemorrhoid
CLC: R657.18
Type: Master's thesis
Year: 2014
Downloads: 5
Quote: 0
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Abstract


Objective:To investigate the clinical effects of segmented ligation and PPH in the treatment of Ⅱ-Ⅳ degree circumferential hemorrhoid.Method:100cases of Ⅱ-Ⅳ degree hemorrhoids were randomly divided into segmented ligation group (treatment group) and PPH group (control group), each of them contained50people,to observe the comprehensive effect of two groups and the curative effect of the different degree of internal hemorrhoids and the anal pain and fall-swell on the first,third,seventh postoperative day and bleeding on the second,forth,seventh postoperative day.According all the above to graded to evaluate the recovery effect.Record and compare the postoperative hospital stay and cost of hospitalization.Observe the long-term effect by reexamination after3months of operation.Results:In the side of comprehensive effect and the effect of the II, III degree circumferential hemorrhoids,P>0.05,there is no significant difference between the treatment group and the control group.But for that of the IV degree circumferential hemorrhoids, P<0.05, the curative effect of treatment group was superior to that of the control group.In the side of postoperative pain,fall-swell and bleeding,except there is no significant difference of them about the bleeding on the seventh postoperative day,the control group was better than the treatment group. In the side of postoperative hospitalization time, treatment group was longer than the control group, and the total medical costs less than the control group.In the side of long-term effect, while the number of patients suffered long-term discomfort in the control group is more than that of the treatment group.Conclusion:Segmented ligation and PPH are has obvious curative effect in the treatment of circumferential hemorrhoids.In the treatment of the IV degree hemorrhoids,segmented ligation is better than PPH.There were less complications after PPH in recovery period.On long-term curative effect,P<0.05, the treatment group was better than the control group.

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CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery > Rectum and anus > Hemorrhoid
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