Comparison of the clinical effect of in situ ligation of internal hemorrhoids and ligation of prolapse in the Milligan-Morgan operative treatment
Objective To investigate the clinical effects of two different methods of in situ ligation of internal hemorrhoids and ligation of prolapse in Milligan-Morgan operative treatment(M-M).Methods A total of 80 patients with mixed hemor-rhoids containing stage Ⅲ to Ⅳ internal hemorrhoids admitted for surgical treatment by the Proctology Department of Tradi-tional Chinese Medicine,Liuzhou People's Hospital Affiliated to Guangxi Medical University from June 2021 to May 2022 were included and divided into the observation group and the control group according to random number table method,with 40 patients in each group.M-M operation was performed in both groups.When ligation internal hemorrhoids,the observa-tion group was ligation in situ,while the control group was ligation in prolapsed position.Incision pain,incision edema,residual skin mark,curative effect,urinary retention,massive hemorrhage and anal stenosis were compared between the two groups.Results Repeated measurement ANOVA results showed that there were statistically significant differences in the first postoperative defecation,pain visual analogue scale score time,inter-group and interaction between the two groups(P＜0.05).The pain VAS scores at the first postoperative defecation,1,7 and 14 days after surgery in observation group were lower than those in control group,with statistical significance(P＜0.05).Pain VAS score 1 day after surgery was lower than the first postoperative defecation in two groups,pain VAS score 14 days after surgery was lower than 7 days after surgery,and pain VAS score 7 days after surgery in control group was lower than 1 day after surgery,the differences were statistically significant(P＜0.05).There was no significant difference in the pain VAS score between the observation group and the observation group between day 1 and day 7 after surgery(P＞0.05).The degree of postoperative incision ede-ma and skin tags in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The curative effect of observation group was better than that of control group,and the difference was statistically significant(P＜0.05).No postoperative massive hemorrhage or anal stenosis occurred in both groups.There was no significant difference in the incidence of urinary retention between the two groups(P＞0.05).Conclusion Ligation of in-ternal hemorrhoids in the original position of M-M is better than that of ligation of internal hemorrhoids in the prolapse posi-tion,the postoperative incision edema and pain are lighter,the skin pad remains less,and the effect is better.It has the value of further clinical research and application.
Mixed hemorrhoidsMilligan-Morgan operative treatmentInternal hemorrhoid in situ ligationIncision ede-maSkin tag residue
万方数据
维普
