Abstract Objective： To study the artery ligation and stripping outside internal plunge in parallel double surgeryfor the treatment of mixed hemorrhoids. Method：120 cases in our hospital after surgical treatment of multiple mixedhemorrhoid patients were retrospective analysised，and were randomly divided into the observation group and the controlgroup，60 cases in each group. The observation group was treated by hemorrhoid artery ligation and ligation outer peel. Thecontrol group was only treated by ligation outer peel.The differences of two groups were compared.Result： The observationgroup patients pain were（ 3.1±0.9）d；healing time were（ 11.2±1.9）d；3 cases of the bleeding number， accountingfor 5%；5 cases of bowel movements difficult， accounting for 8.3%；10 cases of anal margin edema， accounting 16.6%；the patients were no anal stenosis. The observation group patients in the preoperative， immediate postoperative，1 day， 3
days and 1 week VAS scores were respectively（7.5±1.9），（3.0±1.8），（3.1±2.3），（3.5±2.4）and（ 3.0±2.5）.The observation group of complications and pain scores were significantly lower than the control group ，the differencewas statistically significant（P<0.05）.Conclusion： The traditional method of hemorrhoid artery ligation and milligan morgan hemorrhoidectomy multiple mixed hemorrhoids curative effect is better than that of single milligan morgan hemorrhoidectomy and is worth reference in clinical.
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