| Objective To evaluate the clinical efficacy of Dopplerguided hemorrhoidal artery ligation (DGHAL)in treatment of grade Ⅲmixed hemorrhoids,compared with procedure for prolapse andhemorrhoids(PPH). Methods Clinical data and resection samples of 120 patients with grade Ⅲhemorrhoidsidentified by pathology undergoing resection in Nanyang Central Hospital fromJan 2015 to Jan 2016 were collectedand randomly divided into DGHAL group and PPH group according to operation method, with 60 cases in each group.The clinical data such as operation information, hospitalizationtime and cost, short and long term complications and recurrencebetweenthe two groups were compared respectively. Results The operation time, hospitalization time and hospitalization expenses in DGHAL group were lower than those in PPH group(P<0.05). Complications of pain, incision edema, rectal and anal stenosis and mild anal stenosis in DGHAL group were less than those in PPH group (P<0.05).There was no significant difference in postoperative recurrence between the two groups(χ2=1.745,P=0.186). Conclusion DGHAL treatment for patients withgrade Ⅲ mixed hemorrhoids can effectively shorten the operation time and hospitalization time, reduce hospitalization costs, reduce the incidence of postoperative complications, which is safe and effective, and thus worth clinical application. |
