摘要
为比较后正中内括约肌切扩术、侧位内括约肌切扩术和侧位内括约肌切扩缝合术3种手术方法治疗肛裂的效果，探讨治疗肛裂手术方式的临床选择。将120例肛裂患者随机分为3组，每组40例，对照1组采用后正中内括约肌切扩术治疗，对照2组采用侧位内括约肌切扩术治疗，治疗组采用侧位内括约肌切扩缝合术治疗，并比较其疗效。结果显示，治疗组与两对照组在创面愈合时间、疼痛程度等方面有显著性差异（P〈0．05）。结果表明，侧位内括约肌切扩缝合术治疗肛裂具有愈合时间短、疼痛程度轻、并发症少、对肛门外形影响小等优点。
This study was to compare the clinical efficacy of posteromedial internal sphincterotomy and anal dilation, lateral internal sphincterotomy and anal dilation, lateral interal sphincterotomy and anal dilation with surgical suture in treating chronic anal fissure and to discuss the choice of procedures in clinical prac-tice. 120 cases of anal fissure were randomly divided into three groups,40 cases for each. Control group I underwent posteromedial internal sphincterotomy and anal dilation, control group II lateral interal sphincte- rotomy and anal dilation,and treatment group lateral internal sphincterotomy and anal dilation with surgi cal suture. All groups were compared in clinical efficacy. The results showed that there was significant difference between treatment group and control groups in wound healing time and severity of pain（ P〈0.05）. It is concluded that lateral interal sphincterotomy and anal dilation with surgical suture for anal fis-sure is of shorter healing time, mild pain, fewer complications and less influence on anal appearance.
出处
《中国肛肠病杂志》
2013年第3期62-63,共2页
Chinese Journal of Coloproctology
关键词
肛裂
手术
疗效比较
Anal fissure
Surgery
Efficacy comparison
