The Clinical Efficacy Of RPH+ External Hemorrhoids Resection In The Treatment Of Mixed Hemorrhoids

Objective:To investigate and analyze the RPH+external hemorrhoids resection, TST+ external hemorrhoids resection and M-M (Milligan Morgan operation indication) between the therapeutic effect and safety of contrast.Methods:60 cases of patients who meet the inclusion criteria of mixed hemorrhoids are randomly assigned to three groups according to the principle of random, contrasy,balance and voluntary, and each group has 20 cases.The treatment group (RPH+external hemorrhoidectomy), comparison group A (TST+external hemorrhoids resection)and the comparison group B(Milligan Morgan). On three groups of patients with total efficiency, postoperative wound pain and bleeding, postoperative bleeding, postoperative urinary retention, secondary anal fissure, postoperative thrombosis or peri anal hematoma formation, anal stricture of rectum and anal incontinence are compared and analyzed, effect and safety of three kinds of operation are to evaluate.Results:The total effective rate of the three groups is 100%, and there are no serious adverse events in the three groups.There is convenient to have significant difference in postoperative anal pain with Treatment group, control group B and control group A (P<0.05), the treatment group is better than the control group A and control group B;There is statistically significant differencein postoperative bleeding with Treatment group and control group A, control group B (P<0.05), the treatment group and the control group A are better than the control group B;There is convenient to have significant difference in the anal incontinence with Treatment group, control group B and control group A (P<0.05), the treatment group is better than the control group A and control group B;There is no significant difference in Postoperative massive hemorrhage, thrombosis and the formation of anal hematoma between the treatment group, the control group A and control group B after the operation, (P>0.05);there is no significant difference on urinary retention with The treatment group and the control group A and the control group B, (P>0.05);There is no statistically significant difference in terms of secondary fissure with The treatment group and the control group, A control group B(P>0.05);There is no significant difference in the rectum stenosis between the treatment group and the control group A and the control group (B) (P>0.05);Conclusion:RPH+external hemorrhoids resection in the treatment of mixed hemorrhoids external hemorrhoids resection is close to TST+and Milligan Morgan,After RPH has less pain, urinary retention, anal hematoma, low incidence of anorectal stenosis, At the same time, it also avoids the discomfort of anal anastomosis after TST, better maintenance of the fine function of the anus, with high safety and good clinical efficacy.