LigaSure痔切除术联合消痔灵硬化剂注射术治疗混合痔的临床疗效观察OA

Objectives To investigate the clinical efficacy of LigaSure hemorrhoidectomy combined with Xiaozhiling sclerotherapy in the treatment of mixed hemorrhoids.Methods In this prospective randomized controlled trial,110 patients with mixed hemorrhoids who underwent surgical treatment at Shanghai Jiading District Hospital of Traditional Chinese Medicine between September 2024 and May 2025 were enrolled and randomly assigned to an observation group(treated with LigaSure hemorrhoidectomy combined with Xiaozhiling sclerotherapy,n=55)and a control group(treated with Milligan Morgan hemorrhoidectomy,n=55)using a random number table method.prospective randomized controlled trial was conducted.The two groups were compared in terms of clinical efficacy,surgery-related indicators(wound healing time,hospital stay,hos-pitalization costs),and postoperative complication(anal pain,anal bleeding,perianal edema)scores.Results The total clinical effective rates were 100%in the observation group and 94.5%in the control group,with no statistically significant difference(P＞0.05).The observation group had significantly shorter wound healing time and hospital stay than the control group(P＜0.05),while no significant difference was found in hospitalization costs between the two groups(P＞0.05).The observation group also had significantly lower postoperative scores for anal pain,anal bleeding,and perianal edema compared with the control group(P＜0.05),and demonstrated better improvement and faster resolution of anal pain and perianal edema over time.In both groups,scores for anal pain,pain bleeding,and perianal edema initially increased and then decreased over time(P＜0.05).Conclusions LigaSure hemorrhoidectomy combined with Xiaozhiling sclerotherapy achieves clinical efficacy comparable to Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids,while offering advantages of shorter wound healing time,reduced hospital stay,and less postoperative anal pain,anal bleeding,and perianal edema without increasing hospitalization costs.This combined approach provides a valuable reference for the surgical management of mixed hemorrhoids in anorectal practice.