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Clinical efficacy of segmented internal ligature and external decollement with dentate line preservation combined with internal anal sphincterotomy in treatment of circumferential mixed hemorrhoids

TANG Hai-ming;WANG Ming-hua;LU Cai-zhong;ZHANG Jun;Guangming Hospital of Traditional Chinese Medicine in Pudong New Area;  
Objective: To investigate the clinical efficacy of segmented internal ligature and external decollement with dentate line preservation combined with internal anal sphincterotomy in the treatment of circumferential mixed hemorrhoids. Methods: A total of 60 cases of circumferential mixed hemorrhoids were randomly and equally divided into treatment group and control group. The treatment group underwent segmented internal ligature and external decollement with dentate line preservation combined with internal anal sphincterotomy,and the control group underwent traditional internal ligature and external decollement. Results: Both groups had an overall response rate of100%,and there were no significant difference between the two groups( P 0. 05). The wound healing time,anal pain scores on days 1 and 3,postoperative edema at the wound margin,and complications like anal stenosis and partial fecal incontinence all showed significant differences between the two groups( P 0. 05). Conclusion: Segmented internal ligature and external decollement with dentate line preservation combined with internal anal sphincterotomy has satisfactory clinical efficacy with few postoperative complications.
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