Clinical efficacyand safety of Ⅲ degreemixed hemorrhoids with PPH and TST:A prospective randomized controlled study

LU Ming; LIU Yang; WEN Hao

doi:10.7504/CJPS.ISSN1005-2208.2016.12.15

Abstract：Objective To compare and evaluate the clinical efficacy and safety of procedure for prolapse and hemorrhoids (PPH) and tissue-selecting therapy stapler (TST)in treating Ⅲ degree mixed hemorrhoids. Methods A total of 120 patients with Ⅲ degree mixed hemorrhoids admitted in the Department of Anorectal, the First Affiliated Hospital of Xinjiang Medical University from June 2012 to March 2014 were divided into PPH group and TST group according to random number table method,and each group contained 60 patients.The following indexes in each group were compared and observed prospectively: operation duration time,intraoperative pull discomfort,postoperative anal pain,postoperative bleeding,postoperative anal edema,postoperative anal stenosis and postoperative hospitalization time. The anal function recovery situation with anorectal manometry in each group after the surgery finished 6 months later was evaluated objectively.Results Compared with the TST group,patients accept the PPH surgery had the characteristics of obvious intraoperative pull and discomfort,lighter postoperative pain,lighter postoperative anal edema,and differences between the two groups had a statistical significance (P<0.05). There was no statistical significance in operation time, postoperative bleeding,postoperative hospitalization time,postoperative anal narrow (P>0.05). PPH had an less injury to the rectal sphincter muscle in 6 months after operation. Conclusion In the treatment ofⅢdegree mixed hemorrhoids, procedure for prolapse and hemorrhoids is better than tissue-selecting therapy stapler,and it can better protect the physiological function of the anus. But surgeons should take the pull and discomfort into consideration.