摘要
目的采用侧位内括约肌切除术治疗陈旧性肛裂,探索其有效性、安全性,寻找微创的术式。方法将187例陈旧性肛裂患者随机分为2组。治疗组94例采用侧位内括约肌切除术,对照组93例采用传统后位内括约肌切除术,观察2组在术后疼痛、伤口渗液、出血、尿潴留、伤口水肿、愈合时间及术后6周时肛门功能等情况。结果治疗组治愈率87.23%,对照组治愈率75.27%,2组治愈率比较差异有统计学意义(P<0.05),治疗组临床疗效优于对照组。治疗组愈合时间为(10.36±2.21)d,对照组愈合时间为(15.74±3.19)d,2组比较差异有统计学意义(P<0.05)。24 h、7 d症状总得分比较治疗组均低于对照组(P<0.05),随着时间的推移至术后14 d时2组症状总得分比较差异无统计学意义(P>0.05)。2组术后6周肛门功能(感觉、闭合、控便)评分比较差异有统计学意义(P<0.01),治疗组肛门功能明显优于对照组。结论侧位内括约肌切除术治疗陈旧性肛裂能减小手术创伤,缩短治疗时间,减少术后并发症。
Objective To explore the effectiveness and safety lateral internal sphincter resection on the treat- ment of patients with chronic anal fissure. Methods 187 cases of chronic anal fissure were randomly divided into two groups. 94 patients in treatment group were treated by lateral internal sphincter resection. 94 cases in control group were treated by the traditional posterior position sphincter resection. Postoperative pain, wound exudate, bleed- ing, urinary retention, wound edema, healing time and anal function after 6 weeks were observed. Results The cure rate of treatment group was 87.23%, the control group was 75.27%, there was significant difference between two groups on the cure rate（ P 〈0.05）, clinical efficacy of treatment group was better than the control group. Heal- ing time in treatment group （10.36 ± 2.21 d） was shorter than that in control group （15.74 ± 3.19 d, P 〈 0.05 ）. The symptom score in treatment group was superior that in control group 24h and 7d after surgery（ P 〈 0.05 ）. There was significant difference between two groups on anal function after 6 weeks （ P 〈 0.05 ）. Conclusion On the treatment of patients with chronic anal fissure, lateral internal sphincter resection can reduce surgical trauma, shorten treatment time and reduce postoperative complications, it is safe and effective, worthy of clinical use.
出处
《河北中医》
2012年第10期1588-1590,共3页
Hebei Journal of Traditional Chinese Medicine
关键词
肛裂
外科学
Anal fissure
Surgery
