关键词: 外剥内扎术, 吻合器痔上黏膜环切术, 痔, 有效率

Abstract:

Objective To evaluate the effi cacy of traditional external stripping and internal ligation surgery, as well as procedure for prolapse and hemorrhoids (PPH) with a stapler, in patients with hemorrhoids. Method A total of 110 hemorrhoids patients admitted to Qingxin District People’s Hospital in Qingyuan City from January 2015 to December 2023 were included in the study. They were randomly divided into a control group (55 cases, treated with traditional surgical therapy) and an observation group (55 cases, treated with PPH hemorrhoid surgery) using a random number table. The clinical effi cacy rate, perioperative indicators, and incidence of complications between the groups were evaluated. Result One month after surgery, one patient in the control group was eff ective and 52 patients were cured; One eff ective case was observed in the observation group, and 54 cases were cured. The eff ec-tive rates of both groups of patients were 100%, with no signifi cant diff erence (χ2=0.000, P=1.000). Compared with the control group, the observation group had less intraoperative bleeding, shorter operation time and hospitalization time, and lower incidence of complications, with signifi cant diff erences (P ＜ 0.05). Conclusion Both traditional external stripping and internal ligation surgery and PPH can eff ectively treat hemorrhoid patients, but the latter can improve perioperative indicators and reduce the incidence of complications.

Key words: Milligan-morgan hemorrhoidectomy, Stapler assisted hemorrhoidectomy, Hemorrhoids, Effi cient