Effect of PPH Combined with Partial Anal Sphincterotomy on Traumatic Edge Edema and Pain in Patients with Severe Mixed Hemorrhoids
Objective To investigate the effects of procedure for prolapse and hemorrhoids (PPH) combined with partial anal sphincterotomy on traumatic edge edema and pain in patients with severe mixed hemorrhoids.Methods A total of 72 patients with severe mixed hemorrhoids admitted to the hospital from January 2022 to June 2023 were selected as the study objects, and were divided into a control group and an observation group according to random number table method, with 36 cases in each group.The control group was treated with PPH, and the observation group was treated with partial anal sphincterotomy on the basis of the control group.The traumatic edge edema, pain degree, anal function and complications were compared between the two groups.Results 2 weeks after surgery, the scores of traumatic edge edema and visual analogue scale were decreased, and the observation group was lower than the control group, the differences were statistically significant (P<0.05).2 weeks after surgery, the resting pressure of anal canal in both groups were decreased, and the observation group was lower than the control group;the diastolic pressure were increased, and the observation group was higher than the control group, the differences were statistically significant (P<0.05).The total incidence of complications in the observation group was 2.78％, lower than 22.22％in the control group, and the difference was statistically significant (P<0.05).Conclusion The treatment effect of PPH combined with partial anal sphincterotomy for severe mixed hemorrhoids is accurate, which can improve the degree of traumatic edema and pain, promote the recovery of anal function of patients, and reduce the occurrence of related complications, and is worthy of promotion and application.
Severe mixed hemorrhoidsProcedure for prolapse and hemorrhoidsPartial anal sphincterotomyTraumatic edge edemaPain level
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