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. 中華醫學會外科學分會結直腸肛門外科學組. 痔臨床診治指南(2006版)[J]. 中華胃腸外科雜志, 2006(5):461-463.
2. 國家中醫藥管理局. 中醫病癥診斷療效標準[M]. 南京:南京大學出版社, 1994:11.
3. 徐天舒, 錢海華. 針藥結合麻醉下手術治療混合痔40例臨床觀察[J]. 針刺研究, 2009, 34(6):403-405.
4. 中華醫學會, 中華醫院管理學會藥事管理專業委員會, 中國藥學會醫院藥學專業委員會. 抗菌藥物臨床應用指導原則[J]. 中國臨床藥學雜志, 2005, 84(2):135-140.
5. 顏景穎, 陳詩偉. 中藥苦參湯坐浴用于混合痔外剝內扎術后的療效觀察[J]. 實用醫學雜志, 2009, 25(20):3504-3505.
6. 王偉建, 馬天星, 于秀芝. 醫源性肛門直腸狹窄治療體會[J]. 中國實用醫藥, 2008, 3(13):78-79.
7. 陸德銘. 中醫外科學[M]. 6版. 上海:上海科學技術出版社, 1997:168-175.
8. 李春雨, 聶敏, 蔣松濤, 等. 外剝內扎加括約肌切斷術治療混合痔58例臨床觀察[J]. 中國肛腸病雜志, 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. 伍發時, 曾海平. 外剝內扎+內括約肌部分離斷治療環狀混合痔20例分析[J]. 大腸肛門病外科雜志, 2005, 11(2):155.
11. 哈曉冬. 內括約肌側切術對緩解嵌頓痔術后疼痛的臨床體會[J]. 中外醫療, 2009, 32(10):52-52.
12. 周志球, 劉暄. 內括約肌部分切斷對減輕嵌頓痔術后疼痛的臨床觀察[J]. 結直腸肛門外科, 2006, 12(2):103-104.
13. 楊建華, 錢海華. 內括約肌部分切斷對減輕痔術后疼痛水腫的臨床觀察[J]. 中醫學報, 2010, 25(1):67-68.
14. 楊素文. 內括約肌部分切斷對改善痔術后疼痛的作用[J]. 中國中西醫結合外科雜志, 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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