Clinical Study of External Dissection and Internal Ligation, Plus Partial Internal Sphincterotomy in the Treatment of Mixed Hemorrhoids_West China Medical Journal

Authors：

 YANGJi-hong ¹ , MOUJie-fei ¹ ,  HEHong-bo ²

1. The Hospital of Traditional Chinese Medicine of Dayi, Chengdu, Sichuan 611330, P. R. China;
2. Department of Integrated TCM & Western Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HEHong-bo, Email: 18980601615@163.com

Keywords：

Mixed hemorrhoids; Partial internal sphincterotomy; External dissection and internal ligation

DOI：

10.7507/1002-0179.20140152

Video：

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Objective To investigate the effect of external dissection and internal ligation, plus partial internal sphincterotomy in the treatment of mixed hemorrhoids. Methods During January 2010 to January 2012, 364 patients with mixed hemorrhoids selected for surgery were divided into two groups based on whether the patients should accept the treatment of partial internal sphincterotomy. We observed the curative effect of the two groups, including anal pain, bleeding, edema, average healing days and the anorectal stenosis after operation. Results There were statistical differences between the two groups in terms of anal pain, complication rate and hospital stay (P<0.01). The curative effect of the group treated with partial internal sphincterotomy was better than that of the other group. Conclustion External dissection and internal ligation, plus partial internal sphincterotomy is a better choice in the treatment of mixed hemorrhoids, which can relieve postoperative symptoms, reduce complications and shorten treatment course.

Citation： YANGJi-hong, MOUJie-fei, HEHong-bo. Clinical Study of External Dissection and Internal Ligation, Plus Partial Internal Sphincterotomy in the Treatment of Mixed Hemorrhoids. West China Medical Journal, 2014, 29(3): 508-510. doi: 10.7507/1002-0179.20140152 Copy

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1. 中华医学会外科学分会结直肠肛门外科学组. 痔临床诊治指南(2006版)[J]. 中华胃肠外科杂志, 2006(5):461-463.
2. 国家中医药管理局. 中医病症诊断疗效标准[M]. 南京:南京大学出版社, 1994:11.
3. 徐天舒, 钱海华. 针药结合麻醉下手术治疗混合痔40例临床观察[J]. 针刺研究, 2009, 34(6):403-405.
4. 中华医学会, 中华医院管理学会药事管理专业委员会, 中国药学会医院药学专业委员会. 抗菌药物临床应用指导原则[J]. 中国临床药学杂志, 2005, 84(2):135-140.
5. 颜景颖, 陈诗伟. 中药苦参汤坐浴用于混合痔外剥内扎术后的疗效观察[J]. 实用医学杂志, 2009, 25(20):3504-3505.
6. 王伟建, 马天星, 于秀芝. 医源性肛门直肠狭窄治疗体会[J]. 中国实用医药, 2008, 3(13):78-79.
7. 陆德铭. 中医外科学[M]. 6版. 上海:上海科学技术出版社, 1997:168-175.
8. 李春雨, 聂敏, 蒋松涛, 等. 外剥内扎加括约肌切断术治疗混合痔58例临床观察[J]. 中国肛肠病杂志, 2005, 25(12):31-32.
9. Toyonaga T, Matsushima M, Sogawa N, et al. Postoperative urinary retention after surgery for benign anorectal disease:potential risk factors and strategy for prevention[J]. Int J Colorectal Dis, 2006, 21(7):676-682.
10. 伍发时, 曾海平. 外剥内扎+内括约肌部分离断治疗环状混合痔20例分析[J]. 大肠肛门病外科杂志, 2005, 11(2):155.
11. 哈晓冬. 内括约肌侧切术对缓解嵌顿痔术后疼痛的临床体会[J]. 中外医疗, 2009, 32(10):52-52.
12. 周志球, 刘暄. 内括约肌部分切断对减轻嵌顿痔术后疼痛的临床观察[J]. 结直肠肛门外科, 2006, 12(2):103-104.
13. 杨建华, 钱海华. 内括约肌部分切断对减轻痔术后疼痛水肿的临床观察[J]. 中医学报, 2010, 25(1):67-68.
14. 杨素文. 内括约肌部分切断对改善痔术后疼痛的作用[J]. 中国中西医结合外科杂志, 2010, 16(5):584-585.
15. Kanellos I, Zacharakis E, Christoforidis E, et al. Usefulness of lateral internal sphincterotomy in reducing postoperative pain after open hemorrhoidectomy[J]. World J Surg, 2005, 29(4):464-468.
16. Diana G, Guercio G, Cudia B, et al. Internal sphincterotomy reduces postoperative pain after Milligan Morgan haemorrhoidectomy[J]. BMC Surg, 2009, 9(9):16.

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Clinical Study of External Dissection and Internal Ligation, Plus Partial Internal Sphincterotomy in the Treatment of Mixed Hemorrhoids

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