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《Chongqing Medicine》 2017-14
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Thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoids in the treatment of incarcerated circumferential mixed hemorrhoids

Ye Hui;Zhou Qichang;Gong Zhilin;Yu Jie;Huang Shujuan;Xi Changlei;Cao Longlei;Qian Qun;Jiang Congqing;Department of Colorectal Surgery,Jingzhou Hospital,Tongji Medical College of Huazhong University of Science and Technology;Department of Colorectal Surgery,Zhongnan Hospital of Wuhan University;  
Objective To observe the clinical effect of thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoids(PPH)in the treatment of circumferential mixed hemorrhoid with incarceration.Methods A total of 118 cases of circumferential mixed hemorrhoid with incarceration were divided into two groups:experimental group of 60 cases was treated by thrombus removal combined with PPH;control group of 58 cases was treated by Milligan-Morgan.We observed the differences of postoperative visual analogue scale(VAS)score,edema,bleeding,residual skin tag,wound healing time,anal stenosis,fecal incontinence,anorectal manometry and satisfaction in the two groups.Results There was significant difference between the experimental group and the control group in postoperative edema,bleeding and residual skin tag(χ~2=6.63,4.19,6.64,P0.05),but postoperative anal stenosis and fecal incontinence weren′t statistically significant different(χ~2=0.38,1.11,P0.05).Postoperative VAS score,wound healing time,satisfaction,anal resting and anal maximal squeeze pressure between the two groups were all statistically different(P0.01).Conclusion The operation of thrombus removal of external hemorrhoid combined with PPH can effectively reduce the postoperative complications and promote recovery.
【CateGory Index】: R657.1+8
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【Citations】
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【Co-citations】
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1 Ye Hui;Zhou Qichang;Gong Zhilin;Yu Jie;Huang Shujuan;Xi Changlei;Cao Longlei;Qian Qun;Jiang Congqing;Department of Colorectal Surgery,Jingzhou Hospital,Tongji Medical College of Huazhong University of Science and Technology;Department of Colorectal Surgery,Zhongnan Hospital of Wuhan University;;Thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoids in the treatment of incarcerated circumferential mixed hemorrhoids[J];重庆医学;2017-14
2 Hu Xuebin;Department of General Surgery,Wudong Hospital of Wuhan City;;Intersphincteric resection in sphincter-sparing surgery for ultra-low rectal cancer[J];结直肠肛门外科;2017-01
3 Gao Ge;Li Shi;Pelvic Floor Treatment Center,Shenyang Anorectal Hospital;Anorectal Dept,Liaoning Province Anorectal Hospital;;Application of Anal Intersphincteric Disposable Incision and Thread Eradication in Super Low Rectal Carcinoma[J];中国医药导刊;2017-01
4 Huang Dongping;Huang Jianwei;Lu Wenqiang;Sun Zhufeng;Ge Can;Zhou Gengren;Chen Xi;Gao Shurong;Department of General Surgery,People's Hospital of Putuo District;;oppler guided hemorrhoidal artery ligation for mixed hemorrhoids[J];结直肠肛门外科;2016-06
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6 Wei-Cai Xue;Jian-Li Wang;Jian-Cheng Xu;Chun-Xiao Wu;Ji-Hua Gao;Department of Anorectal Medicine,TCM Hospital of Hebei Province;Department of Anorectal Medicine,Mianyi Hospital of Shijiazhuang City;;Efficacy of procedure for prolapse and hemorrhoids vs traditional surgery for treatment of constipation caused by internal rectal prolapse with mixed hemorrhoids[J];世界华人消化杂志;2015-25
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1 LU Bing, LIU Yu-xiang, CHEN Yong, HE Xiao-jun, WANG Zhe, ZHOU Kun Department of Anorectal Surgery, Shanghai Armed Police Corps Hospital, Shanghai 201103, China;Morphological characteristics of acute incarcerated and mixed hemorrhoid[J];军医进修学院学报;2010-03
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