The Effect Of Surgical Method On Intestinal Motility After Mixed Hemorrhoidectomy

ObjectiveBy testing,observe the relevant indexes before and after treatment,compared two kinds of operation(within the outer shell pierced with stapling hemorrhoids mucosa circumcision,)for treating type,the inefficiency of conservative treatment of patients with mixed hemorrhoid bowel motivation.Aimed to seek a smaller effect on intestinal dynamic mixed hemorrhoid surgery way,reduce the postoperative complications of constipation,and a series of other complications caused by constipation,achieve the goal of relieve patients' pain.MethodsSelection in November 2016 to November 2017 in anhui province hospital anus bowel division admitted in hot and humid betting type,the inefficiency of conservative treatment of 60 cases of mixed hemorrhoid patients,aged between 18 and 60 years old,were randomly divided into two groups,including the outer peel internal plunge in 30 cases(control group),stapling hemorrhoids mucosa fibrotomy(PPH)30 cases(treatment group),improve relevant inspection after admission,fully inform the illness and signed consent form of the operation,in waist hard joint anesthesia,x respectively within the peel and PPH surgery,postoperative routine anti-infection and pain,change the bandage daily and other symptomatic treatment.Observing two groups of patients with postoperative hospitalization days,first time defecation,stool properties,defecate frequency,defecate difficulty,postoperative anal pain,etc,the seventh day of preoperative and postoperative venous blood of vasoactive intestinal peptide(vasoactive intestinal peptide,VIP)and substance P(substance P,SP)mass concentration of the change of the objective index,the hot and humid betting type,the inefficiency of conservative treatment of mixed hemorrhoids line two kinds of different operative methods to make an objective evaluation of the impact on patients with intestinal power.ResultsThere was no statistically significant difference in the age and gender of the patients before treatment,which was comparable in clinical practice.No adverse events occurred in both groups during the treatment.(1)Cure rate: 60 cases of ?-? humid betting type,give priority to with hemorrhoids mixed hemorrhoid patients treated by two different surgical treatment after all,the cure rate was 100%,postoperative complications such as bleeding,anal stricture and anal incontinence.No recurrence was observed for half a year.There was no statistical difference between the treatment group and the control group(P>0.05).(2)There was no significant difference(*P>0.05)between the two types of patients after the operation,no significant difference between the two patients after the operation.(3)Hospitalization days,there was a significant difference between the two groups of symptoms in the first time of defecation,difficulty in defecation,and the symptoms of defecation pain.(?P<0.05).(4)In the treatment group and the control group,the 7th day of VIP and SP changes were compared,?P<0.05,and the difference was statistically significant.ConclusionExternal stripping and PPH surgery are both effective and commonly used treatment methods for mixed hemorrhoid surgery,which has definite effect on intestinal motility.The effects of different surgical options on intestinal motility were evaluated objectively by grouping control method.Studies have shown that PPH is less effective than exfoliation in patients with mixed hemorrhoids after surgery,and the effect is safe and effective and worthy of clinical promotion.