关键词: 自动弹力线套扎, 外痔切除术, 混合痔

Abstract:

Objective To investigate the clinical efficacy and safety of automatic elastic thread ligation combined with external hemorrhoidectomy for patients with mixed hemorrhoids. Method 160 patients with mixed hemorrhoids were selected from December 2019 to March 2022 in Jinhu County Hospital of Traditional Chinese Medicine in Huai'an City. According to the results of random red and white ball lottery, they were divided into the control group (80 patients with white balls) and the observation group (80 patients with red balls). The control group was treated with traditional external incision and internal ligation, and the observation group was treated with the combined scheme of automatic elastic thread ligation and external hemorrhoid resection. The pain, edema, and bleeding of the patients in the two groups 1 day, 3 days, and 6 days after surgery were observed and evaluated The changes of symptoms such as anal distension were observed and the incidence of complications such as wound bleeding and urine retention was observed and counted. Result The pain score, edema symptom score and anal distension score of patients in the observation group on the 1st, 3rd and 6th day after operation were lower than those in the control group (P ＜ 0.05). The difference is significant between the two groups in the probability of complications such as wound bleeding and urine retention (P ＜ 0.05). Conclusion The combination of automatic elastic thread ligation and external hemorrhoidectomy is the first choice for clinical treatment of mixed hemorrhoids. Compared with the traditional treatment, it can effectively reduce the postoperative pain, edema, anal distension and other symptoms, with fewer complications and ideal safety.

Key words: Automatic elastic wire binding, External hemorrhoidectomy, Mixed hemorrhoids