关键词: 痔病, PPH术, M-M-R术, M-M术

Abstract: 【Abstract】 Objective To investigate the effect of Milligan-morgan combined with Ruiyun procedure on hemorrhoids and summarize the experience. Methods 169 patients with hemorrhoids were included in the study from Jul. 2014 to Dec. 2015 in our hospital. Of them, 91 cases were performed Milligan-morgan combined with Ruiyun procedure on hemorrhoids （M-M-R group）, and 78 cases underwent procedure for prolapse and hemorrhoids（PPH group）. The operation duration, hemorrhage during operation, hospital charge, emergency, postoperative anal pain and edema, postoperative bleeding, postoperative inconvenience, and anorectal dynamics of post operation were observed, recorded and compared between two groups. Results The operation time was 42.7±28.6 minand 28.5±15.3 min in M-M-R group and PPH group, respectively（P<0.05）. Intraoperative blood loss was less than 10 ml in each group. The patients in M-M-R group had higher visual analogue scale（VAS）than in PPH group. There were more patients presented postoperative inconvenience in M-M-R group, including anal complaints, anal edema, mild fecal incontinence and those got recovery in a few days after operation. M-M-R group had the lower hospital inpatient expenses than PPH group. There were no statistical significant differences in the postoperative prolapse, bleeding, urination, and the satisfactory degree between two groups. There were not archostenosis, stool bleeding, recurrence recorded in 3 months of follow-up. Conclusion The effect of M-M-R procedure was comparable with PPH on treatment of hemorrhoids at least in the short time. M-M-R is especially suitable for the implementation of the basic hospital due to its lower cost.

Key words: Milligan-morgan, M-M-R procedure, PPH, Hemorrhoid