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The Clinical Observation on Mixed Hemorrhoid of Horizontal Form Suturing Internal Hemorrhoid and Resection External Hemorrhoid and Retain Tooth Line

Author: WuJunBo
Tutor: ChenHongJin
School: Nanjing University of Traditional Chinese Medicine
Course: Surgery of Chinese Medicine
Keywords: Mixed hemorrhoids Anal cushions Dentate line Transverse suture method Efficacy of
CLC: R657.1
Type: Master's thesis
Year: 2009
Downloads: 88
Quote: 1
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Abstract


Purposes : for the treatment of mixed hemorrhoids , explore a means of maintaining the the anal cushions normal position , does not damage the teeth line District sensory epithelium , and can effectively remove the lesions , reduce postoperative complications and sequelae of surgical methods . Methods: 28 cases of mixed hemorrhoids inpatients , were randomly divided into two groups , the treatment group, 14 cases , 14 cases of the control group . The treatment group were treated with external hemorrhoids internal hemorrhoids cross -shaped suture resection retained dentate line operation , the control group were treated with traditional external dissection and internal ligation (Milligan-Morgan technique ) . Were used in the clinical efficacy of the two groups of patients , surgical time , postoperative complications , postoperative complications , wound healing time before and after surgery anal circumference indicators were observed statistics . Results: The use of the internal hemorrhoids transverse suture external hemorrhoids removal retained teeth line treatment of mixed hemorrhoids traditional dissection and internal ligation (Milligan-Morgan technique ) compared the clinical cure rate , recurrence rate , operative time , edema , infection , urinary retention , wet anus , anal stenosis incidence was no significant difference ( P > 0.05 ) . Two groups of patients with wound healing time , postoperative pain , postoperative bleeding , bowel movements , rectal bulge anal circumference before and after surgery there is a statistically significant difference ( P <0.05 ) . Conclusion : internal hemorrhoids transverse suture external hemorrhoids resection surgery guarantee cure rate on the basis of effective protection anus normal structure and function , shorten the time of wound healing , reduce postoperative complications and sequelae retained dentate line , is a treatment of mixed hemorrhoids effectively method.

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