Chen Jian-fa, Huang Zong-hai, Chen Yin-xiang, Xiao Jian-qiu
Department of General Surgery, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China.
Di Yi Jun Yi Da Xue Xue Bao. 2003 Apr;23(4):382-3, 386.
To compare the clinical effect of anal cushion resection with Milligan-Morgan hemorrhoidectomy for the third- or fourth-degree circular hemorrhoids.
Forty-eight patients with third- or fourth-degree circular hemorrhoids were randomly assigned into two groups to receive either anal cushion resection or Milligan-Morgan hemorrhoidectomy. Comparison of the two approaches were conducted in terms of postoperative pain scores, operation time, wound healing time, mean hospital stay, incidence of postoperative complications and the curative effect. Results No significant difference was found in view of postoperative pain scores according to visual analogue scale between the 2 groups. The operative time of anal cushion resection was significantly longer than that of the other group, however, its wound healing time, mean hospital stay and incidence of postoperative complications were significantly less. Follow-up study for 3 months after operation found that anal cushion resection had significantly better curative effect than Milligan-Morgan hemorrhoidectomy. Conclusion Anal cushion resection is a safe and practical approach for third- or fourth-degree circular hemorrhoids.
比较吻合器痔上黏膜环切术（PPH）与Milligan-Morgan外剥内扎术治疗Ⅲ、Ⅳ度环状混合痔的临床疗效。
将48例Ⅲ、Ⅳ度环状混合痔患者随机分为两组，分别行吻合器痔上黏膜环切术或Milligan-Morgan外剥内扎术。比较两组术后疼痛评分、手术时间、创面愈合时间、平均住院时间、术后并发症发生率及疗效。结果两组患者术后视觉模拟评分法（VAS）疼痛评分比较差异无统计学意义；吻合器痔上黏膜环切术手术时间显著长于Milligan-Morgan外剥内扎术，但创面愈合时间、平均住院时间及术后并发症发生率显著低于Milligan-Morgan外剥内扎术。术后随访3个月，吻合器痔上黏膜环切术疗效显著优于Milligan-Morgan外剥内扎术。结论吻合器痔上黏膜环切术治疗Ⅲ、Ⅳ度环状混合痔安全、实用。
