Keep the skin bridge outside Qienei Zha internal sphincterotomy plus circular mixed hemorrhoid treatment.docVIP

 PAGE \* MERGEFORMAT 8 Keep the skin bridge outside Qienei Zha internal sphincterotomy plus circular mixed hemorrhoid treatment Since August 2005, I have families to retain the skin bridge using external Qienei Zha internal sphincterotomy plus circular mixed hemorrhoid treatment, results were satisfactory, now the ways and experiences described in the following: 1 Clinical data The group of 72 male and female 48 cases, aged 28-65 years old, are in line with 1975, the National Conference of anorectal ring developed diagnostic criteria for mixed hemorrhoids. [1] in which 5 patients with anal fissure and anal fistula in 2 cases of subcutaneous , anal papilla hyperplasia in 4 cases, 8 cases of thrombosis incarcerated swelling, duration 2 years -25 years, some patients have surgery, 120 patients were randomly divided into a 2:1 ratio of treatment group and control group. by statistics treatment, two groups were age, sex, illness, disease and so there was no significant difference between comparable (Pgt; 0.05. the two groups were routinely check the blood before surgery, coagulation 4, liver and kidney function, ECG, X ray chest anteroposterior film, no surgical contraindications. 2 treatment 2.1 Procedures Control group: sterilization, the waist acupoint anesthesia, anal expansion, according to the shape of mixed hemorrhoid ring divided into several regions. Qienei Zha outside the traditional method, the base for external hemorrhoids “V”-shaped incision, sharp teeth separated from like online 0.5CM, with 7 as the base line in the internal hemorrhoids “8” ligation, the ligation line at the removal of excess tissue 0.5CM side, expand the incision wound edge trim to facilitate drainage. Treatment groups: routine disinfection, the waist acupoint anesthesia, extended anal. (1 observation circumferential mixed region the size of the distribution of the first part of internal and external piles to find prominent place than those identified as e