My troll build is very similar to yours. It works well and is just about as quick as a 55 monk. I would take a 3-1 vamp axe. This provides some extra healing (you don't really need it, but I like seeing all the +hp numbers on my screen) and helps kill them off faster.
Having high HP isn't really needed for trolls, so you might want to invest into a superior rune or two. Have you tryied dumping "watch yourself", putting a few more points into strength and running dolyak signet? That is more effective for me, but again, I like like dolyak signet so I try to include it in my farming builds.
-Sicarius
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