摘要
目的比较分析改良内括约肌侧切术与后切术治疗陈旧性肛裂的疗效。方法选择100例陈旧性肛裂患者，其中60例患者采用改良内括约肌侧切术（侧切组），40例患者采用传统后正中位内括约肌切断术（对照组）。观察两组患者的术后住院时间、创面愈合时间、术后疼痛程度和术后并发症情况，并进行临床疗效比较。结果两组患者手术均成功，侧切组患者术后住院时间、创面愈合时间和术后24 h疼痛程度均明显少于对照组（t＝2．13、2．19、2．17，均P＜0．05），侧切组患者的临床总有效率（98．3％）明显优于对照组（85.0％）（χ2＝4．67，P＜0．05），侧切组患者术后并发症发生率（13．3％）明显低于对照组（35．0％）（χ2＝6.57，P＜0．05）。结论改良内括约肌侧切术治疗陈旧性肛裂较传统后正中位内括约肌切断术治疗具有术后疗效佳、术后住院时间短、创面愈合快、术后疼痛少和术后并发症少等优点。
Objective To compare the curative effect of improved lateral incision of internal sphincter and posterior incision in the treatment of old anal cleft .Methods 100 patients with old anal cleft were selected .60 patients were given the improved lateral incision of internal sphincter （ lateral incision group ） , and 40 patients were given the traditional posterior median incision of internal sphincter （ control group ） .The postoperative hospitalization time,wound healing time ,postoperative pain level and complications were observed ,and the clinical curative effect was compared.Results The operations of the two groups were successful .The postoperative hospitalization time ,wound healing time,postoperative 24h pain level in the lateral incision group were less than those in control group （t=2.13, 2.19,2.17,all P〈0.05）.The total effective rate of the lateral incision group （98.3%） was significantly higher than that of the control group（85.0%）（χ2 =4.67,P〈0.05）,while the incidence rate of postoperative complications in the lateral incision group（13.3%） was significantly lower than that of the control group （35.0%）（χ2 =6.57,P〈0.05 ） .Conclusion Compared with traditional posterior median incision of internal sphincter , the improved lateral incision of internal sphincter in the treatment of old anal cleft has advantages , such as better postoperative curative effect,shorter postoperative hospitalization ,less wound healing time ,lighter postoperative pain ,less postoperative com-plication,and etc.
出处
《中国基层医药》
CAS
2014年第5期684-686,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肛裂
陈旧性
内括约肌侧切术
改良
内括约肌切断术
后正中位
Anal cleft,old
Lateral incision of internal sphincter,improved
Incision of internal sphincter,posterior median
