Volume 29, Issue 4, 2020
Clinical comparative study of different kinds of surgery scheme in the treatment of severe mixed hemorrhoids patients without prolapse of non-circular internal hemorrhoids
Abstract
Objective To investigate the clinical effects and safety differences of PPH and TST in the treatment of severe mixed hemorrhoids patients without prolapse of non-circular internal hemorrhoids.
Methods Clinical data of 159 severe mixed hemorrhoids patients without prolapse of non-circular internal hemorrhoids were retrospectively chosen in the period from May 2016 to May 2018 in our hospital and divided into 2 groups including PPH group (60 patients) with PPH scheme and TST group (60 patients) with TST scheme; and the level of surgery related clinical indicators, symptoms VAS score after surgery, incidence of postoperative complications and recurrence rate of 2 groups were compared.
Results The operation time, intraoperative blood loss and the number of suture needle in operation of TST group were less than PPH group and the differences were statistically significant（p<0.05）. There was no significant difference in the hospitalization time and total treatment costs between 2 groups（p>0.05）. There was no significant difference in the symptom VAS scores in 3d after surgery between 2 groups（p>0.05）. There was no significant difference in the incidence of urinary retention and anastomotic bleeding between 2 groups（p>0.05）. The incidence of defecation urgency feeling and rectal stenosis of TST group were lower than PPH group and before treatment and the differences were statistically significant（p<0.05）. There was no significant difference in the recurrence rate in 6 months and 12 months after surgery between 2 groups（p>0.05
Conclusion PPH and TST in the treatment of severe mixed hemorrhoids patients without prolapse of non-circular internal hemorrhoids possess the same clinical effects with short-term and long-term; TST operation application possess the advantages including simple operation, minimally invasive and less postoperative complications.
Keywords
surgery; internal hemorrhoids; mixed hemorrhoids; clinical efficacy; safety