Analysis of factors impacting postoperative pain and quality of life in patients with mixed hemorrhoids:A retrospective study  

作　　者：Xiao-Wen Sun Jing-Yi Xu Chang-Zhen Zhu Si-Jia Li Lu-Jia Jin Zhi-Dong Zhu 

机构地区：[1]Department of Gastrointestinal Surgery,Tsinghua University Affiliated Beijing Tsinghua Changgeng Hospital,Beijing 102218,China [2]Surgical Department,Tsinghua University Affiliated Beijing Tsinghua Changgeng Hospital,Beijing 102218,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第3期731-739,共9页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Hemorrhoids are among the most common and frequently encountered chronic anorectal diseases in anorectal surgery.They are venous clusters formed by con-gestion,expansion,and flexion of the venous plexus in the lower part of the rec-tum.Mixed hemorrhoids bleed easily and recurrently,and this can result in severe anemia.Hence,they may have a negative effect on the health of the patient and surgical treatment is required.Milligan-Morgan hemorrhoidectomy has been widely used since 1937 for the treatment of grade III and IV hemorrhoids.How-ever,most patients experience different degrees of postoperative pain that may cause anxiety.with mixed hemorrhoids post-surgery.METHODS The clinical data of patients with mixed hemorrhoids who underwent Milligan-Morgan hemorrhoidectomy were collected retrospectively.The basic character-istics of the enrolled patients with mixed hemorrhoids were recorded,and based on the Goligher clinical grading system,the hemorrhoids were classified as grades III or IV.The endpoint of this study was the disappearance of pain in all patients.Quantitative data were presented as mean±SD,such as age,pain score,and QoL score.Student’s t-test was used to compare the groups.RESULTS A total of 164 patients were enrolled.The distribution of the visual analog scale pain scores of all patients at 3,7,14 and 28 d after surgery showed that post-surgery pain was significantly reduced with the passage of time.Fourteen days after the operation,the pain had completely disappeared in some patients.Twenty-eight days after the surgery,none of the patients experienced any pain.Comparing the World Health Or-ganization Quality of Life-BREF self-reporting questionnaire scores of patients between 14 and 28 d after surgery,we observed that the quality-of-life scores of the patients post-surgery had significantly improved.There were six items that were compared at 14-and 28-d post-surgery.The mean QoL score 28 d after surgery(4.79±0.46)was higher than that at 14 d post-surgery(3.79±0.57).The mean health cond

关 键 词：HEMORRHOIDS Mixed hemorrhoids Milligan organ hemorrhoidectomy Postoperative pain Quality of life Anesthesia mode 

分 类 号：R735.34[医药卫生—肿瘤]