Objective To Investigate the treatment effects of Ⅲ > Ⅳ hemorrhoids and mixed hemorrhoids operation on the elderly older than 70. Methods Retrospective analyse surgical treatment in patients over 70 years old from January 2005 to December 2010. Results Hospitalization time was 12 to 18 days,15. 4 days on average. Of all the 150 cases,18 cases of bleeding,21 cases of Anal margin of edema,47 cases of dysuria,25 cases obviously pain after operation. And all got improved after treatment. After a postoperative follow-up time range from 6 months to 3 years, 4 cases with a little bleeding, 2 cases with hemorrhoidal body prolapse. After conservative treatment, the bleeding stopped, hemorrhoidal body would not emerge, no fecal incontinence and no anal stenosis. Conclusion The Ⅲ,Ⅳ hemorrhoids,mixed hemorrhoids operation should be done as early as possible treatment. Reasonable perioperative management and anesthesia,and choice of surgical approach are the key to achieve good therapeutic effect.%目的 探讨70岁以上老年人Ⅲ、Ⅳ期内痔、混合痔的手术治疗效果.方法 回顾性分析2005年1月至2010年12月手术治疗的70岁以上患者的临床资料.结果 住院时间12～18 d,平均15.4 d.150例中术后18例出血,21例肛缘水肿,47例排尿困难,25例疼痛明显,经处理好转.术后随访6个月至3年,有4例少许出血,2例痔体脱出,经保守治疗出血停止、痔体不再脱出,无大便失禁、肛门狭窄等并发症.结论 Ⅲ、Ⅳ期内痔、混合痔应尽早手术治疗,合理的围术期处理和麻醉、手术方式的选择是取得良好治疗效果的关键.
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