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Observation On Therapeutic Effects Of Operation Procedure Of Small V-shape Incision And Presserving Treitz's Muscle In The Treatment Of Mixde Hemorrhoids

Posted on:2009-01-21Degree:MasterType:Thesis
Country:ChinaCandidate:F HeFull Text:PDF
GTID:2144360245984929Subject:Medicine surgery
Abstract/Summary:PDF Full Text Request
Preface Hemorrhoid is a clumping which has been become as the pathological hypertrophia and move down of the anus pad and stasis of blood stream of vascularplexus under the skin crissum .If it accompany symptoms such as blooding and prolapse etc,we call it is hemorrhoid. Hemorrhoid is one of the most frequent diseases,it's prevalence rate reach up to 48 percent.Sina 1975. Thomson proposedthe famous of"The nature of haemorrhoide"in the Samthampton hospital. Human has new recognition to theessence an treatment of the hemorrhoid. Compared with the previous doctrine.such as"varicose veins theory","bacterial infectious hypothesis""vascular hyperplasia theory". Anal Cushions put it is the normal anatomy of the human body.It is hemorrhoid When it happened pathological hypertrophy and displaced.This hemorrhoid treatment produced a new concept.It is think"Anal Cushions organizations and changes of the merger hemorrhoid symptoms can be called only in need of treatment.All treatment is not the purpose of the elimination of hemorrhoids, but eliminate symptoms,The eliminate of hemorrhoid symptoms than hemorrhoid size change more meaningful,it Should be regarded as the standard treatment"Traditional operation such as Milligan一Morgan,prolapse and hemorrhoids,electroresection.These Operation all Completely resected haemorrhoids are the main therapeutic purposes Severe damage to the normal anatomic structure Anal Cushions,Often occurs after operation severe anal edema, severe pain and bleeding, narrow, anal incontinence with sensory and a series of complications.But Professor Fuzhongzhu .proposed the"Small V-shape Incision and Presserving Treitz, s Muscle in the Treatment of Mixde Hemorrhoids"in the many years of clinical study.It Achieved satisfactory clinical results.We will be present with the traditional method of stripping the ligation procedure to compare the efficacy and evaluate its clinical application valueObjective Mixed hemorrhoid treatment is the traditional surgical method of external dissection and internal ligation procedure, the method is thorough, effective, but after there will be severe pain, edema anal margin, anal stenosis and anal incontinence, and other sensory complications.But The new surgical treatment of postoperative pain mixed hemorrhoids with light, shorter hospitalization and fewer complications, etc. The purpose of this study is that by the two of the clinical efficacy of contrast, can explore to reduce or eliminate a clinical symptoms but also the greatest possible protection of the Anal Cushions surgery.Methods The object of study for 2001 and 2007 to our hospital inpatient treatment of 200 cases of mixed hemorrhoids patients will be randomly divided into two groups, the treatment group 100 cases, 100 cases of the control group.Treatment group used "small v-shaped incision Treitz muscle preservation technique" of the control group using external dissection and internal ligation procedure.Results Use small v-shaped incision in the treatment of Treitz muscle preservation mixed hemorrhoids, with the external dissection and internal ligation , compared with ligation procedure, the clinical efficacy of treatment of postoperative complications such as a statistically significant difference (P <0.05).Treatment of patients before and after operation of anorectal pressure difference was not significant (P> 0. O5).Conclusion "Small v-shaped incision Treitz preservation of muscle" is a safe, reasonable, effective and less pain, fewer complications, faster wound healing, in patients with high satisfaction with the treatment of mixed hemorrhoid surgery, a clinical application and popularization.
Keywords/Search Tags:Hemorrhoids, Treitz muscle, preservation, surgery
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