结直肠肛门外科2017，Vol.23Issue(3)：304-307,4.
肛裂切除并侧方内括约肌切断术治疗慢性肛裂的效果分析
The effect analysis of anal fissure resection combined with internal sphincterotomy forchronic anal fissure
孙长河 1胡军1
作者信息
- 1. 琼海市人民医院普外科 海南琼海571400
- 折叠
摘要
Abstract
Objective To study the clinical curative effect of anal fissure excision and internal sphincterotomy for chronic anal fissure.Methods 120 patients with chronic anal fissure were randomly assigned into two groups,with 60 cases in each group.The treatment group underwent orthotopic anal fissure excision and lateral internal sphincterotomy,and the control group underwent posterior median incision debridement.The therapeutic effects,postoperative complications and rehabilitation of the two groups were compared.Results The total effective rate in the treatment group was 98.33％,and in the control group 95％,with no significant difference between the two groups(P ＞ 0.05).The incidence of anal overflow and complication rate in the treatment group were 1.67％ and 13.33％,respectively,which were significantly lower than that in the control group (P ＜ 0.05).The incidence of recovery time of anal function and incision healing time in observation group were [(6.76±1.37) d and (8.06±2.51) d],respectively,which were significantly lower than those in control group (P ＜ 0.05).Conclusion The orthotopic anal fissure excision combined with lateral internal sphincterotomy and posterior median incision debridement has similar effect in the treatment of chronic anal fissure,but the former can significantly shorten the postoperative recovery time,with better safety.关键词
慢性肛裂/内括约肌切断术/临床疗效Key words
chronic anal fissure/internal anal sphincterotomy/clinical curative effect分类
医药卫生引用本文复制引用
孙长河,胡军..肛裂切除并侧方内括约肌切断术治疗慢性肛裂的效果分析[J].结直肠肛门外科,2017,23(3):304-307,4.
