| ObjectiveTo analyze the clinical effect of TST combined with RPH in the treatment of constipation caused by circumferential mixed hemorrhoids with internal rectal mucosa prolapse.MethodsA retrospective study was conducted on 60 patients that diagnosed with constipation caused by circumferential mixed hemorrhoids with internal rectal mucosa prolapse during the period from January 2016 to December 2017 in the general surgery department of hunan provincial people’s hospital.According to the surgical methods,there are two groups:research group adopted TST combined with RPH,control group adopted PPH combined with RPH,and 30 cases in each group.Comparing TST combined with RPH to PPH combined with RPH in treatment of constipation caused by circumferential mixed hemorrhoids with internal rectal mucosa prolapse in operation time,first defecating time,the postoperative length of hospital stay,postoperative pain,postoperative complications,the curative effect.Results1.The operation time of research group was 35.37±2.11min,the operation time of control group was 36.03±1.79min.lt was statistically analyzed that |t|=1.320,P>0.05.There was no significant difference between research group and control group in the operation time.2.The first defecating time of research group was 1.300±0.60d,the first defecating time of control group was 1.83±0.75d.1t was statistically analyzed that |t|=3.058,P<0.05.The difference of the first defecation time between reseach group and control group was statistically significant.3.The postoperative length of hospital stay of research group was 2.87±0.90d,the postoperative length of hospital stay of control group was 4.57± 1.31d.It was statistically analyzed that |t|=5.875,P<0.05.The difference of the postoperative len gth of hospital stay between research group and control group was statistically significant.4.The pain scores of 24 hours after surgery of research group was 3.03±1.217,the pain scores of 24 hours after surgery of control group was 4.40±1.276.It was statistically analyzed that |t|=4.245,P<0.05.The difference of pain scores of 24 hours after surgery between research group and control group was statistically significant.5.The pain scores of 7 days after surgery of research group was 0.10±0.305,the pain scores of 7 days after surgery of control group was 0.57±0.817.It was statistically analyzed that |t|=2.930,P<0.05.The difference of pain scores of 7 days after surgery between research group and control group was statistically significant.6.There was no significant difference between research group and control group in perianal edema,urinary retention,and recurrence(P>0.05).7.Two cases of anal pendant expansion occurred in research group,ten cases of anal pendant expansion occurred in control group.It was statistically analyzed thatχ2=6.667,p<0.05.The difference of anal pendant expansion between research group and control group was statistically significant.8.Zcro cases of anal stenosis occurred in research group,six cases of anal stenosis occurred in control group.It was statistically analyzed that x2=4.630.p<0.05.The cdifference of anal stenosis between research group and control group was statistically significant.9.Zero cases of defecation difficulty occurred in research group,six cases of defecation difficulty occurred in control group.It was statistically analyzed thatχ2=4.630,P<0.05.The difference of defecation difficulty between research group and control group was statistically significant.10.There was no significant difference in curative effect between research group and control group(P>0.05).Conclusion1.TST combined with RPH has the advantage of short postoperative length of hospital stay,quick recovery,and lighter pain after surgery.2.TST combined with RPH is safe and effective,few complications,the recent Ccurative effect is confinncd,it is worth to be promoted in the treatment of constipation caused by circumferential mixed hemorrhoids with internal rectal mucosa prolapse. |
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