Clinical Study On The Treatment Of Ⅲ-Ⅳ Annular Mixed Hemorrhoids By Dentate Ligation And Discontinuous Transverse Ligation Combined With Anal Canal Skin Incision And Tension Reduction

Objective: the purpose of this paper is to observe tooth ligation discontinuous cross lashing joint anal canal skin incision to a loss(experimental group)and outer shell pierced surgery(control group)in treatment of Ⅲ-Ⅳ degree of the clinical curative effect of circumferential mixed hemorrhoid,through the observation analysis two groups of postoperative pain,bleeding,edema of anal edge,urinary retention,dung embedded plug,anal straining,anal canal stenosis,complications such as anal incontinence,and anal skin roughness,wound healing time,objective evaluation to tooth ligation discontinuous cross lashing joint anal canal skin incision advantage to a loss,as to provide theoretical basis for clinical promotion,a new train of thought and circumferential mixed hemorrhoid surgery.Methods: select hospital anus bowel division 2 area in henan province into standard Ⅲ-Ⅳ patients with circumferential mixed hemorrhoid,66,according to random number table method is divided into experimental group and control group,experimental group of 33 patients for tooth ligation discontinuous transverse cut tubing joint skin to zhang loss,33 patients were treated within the outer peel surgery,postoperative given routine therapy,the two groups were recorded in the two groups overall curative effect,record postoperative days 1,3,5,7,10 pain score,14 days after the bleeding rate and postoperative 3 months maximum blood loss,postoperative edema scores 14 days,seven days,3 days before the postoperative urinary retention scores,The occurrence of fecal impaction,anal anal stenosis score 14 days after surgery,anal drop score 14 days after surgery and 3 months after surgery,anal incontinence score 14 days after surgery and 3 months after surgery,anal border skin flatness score 14 days after surgery,and wound healing time was recorded.The collected data were analyzed by SPSS26.0 statistical software,and P < 0.05 indicated statistically significant differences.Results: The overall curative effect between the experimental group and the control group was P > 0.05,and there was no difference in the overall curative effect between the two groups.The wound pain scores on the 1st,3rd,5th,7th and 10 th days after surgery were analyzed.P < 0.05 indicated that the experimental group had a significant advantage in relieving postoperative pain compared with the control group.Bleeding scores were analyzed 14 days and 3 months after operation,P > 0.05,there was no significant difference between the experimental group and the control group.The wound edema score on the 7th and 14 th days after surgery(P < 0.05)indicated that the reduction of postoperative wound edema complications in the experimental group was better than that in the control group.Compared with postoperative urinary retention score,P < 0.05,the incidence of urinary retention was significantly reduced in the experimental group.The fecal impaction occurred in 0 patients in the experimental group and 3 patients in the control group,with P > 0.05.There was no significant difference in efficacy between the two groups.14 days after the observation of anal anal stenosis,P < 0.05,the experimental group in the prevention of anal stenosis complications was significantly better than the control group;Anal falling feeling 14 days after the operation was analyzed,P < 0.01,and anal falling feeling 3 months after the operation,P > 0.05.The experimental group was better than the control group in alleviating anal falling in the short term,and there was no difference in long-term efficacy.Anal incontinence score was analyzed 14 days after operation and 3 months after operation,P > 0.05.No anal incontinence was caused by two operation methods.Compared with the two groups on the 14 th day after surgery,the anal skin flatness of the experimental group was better than that of the control group(P < 0.05).Wound healing time was compared between the two groups,P >0.05,and there was no significant difference in wound healing time between the two groups.Conclusion: Compared with the traditional external stripping and internal ligation,dentiform ligation and intermittent transverse ligation combined with anal canal skin incision and tension reduction has significant clinical effect.For postoperative pain,edema,urinary retention,anal edge skin flatness,anal canal stenosis,relieving anal drop and other aspects of the obvious improvement effect;Dentate ligation and intermittent transverse ligation combined with anal canal skin incision and reduction of tension for the treatment of Ⅲ-Ⅳ annular mixed hemorrhoids has a clear effect and low postoperative complications,which is worthy of clinical promotion and application.