摘要
目的探讨改良纵切横缝术治疗慢性肛裂的临床效果。方法将56例慢性肛裂患者分成观察组与对照组,每组28例,对照组采用常规纵切横缝术,观察组予改良纵切横缝术治疗,比较2组患者的手术前后肛管直径变化及术后疼痛、水肿、愈合时间、感染等情况。结果 2组患者术后肛管直径均较治疗前有显著增大(P<0.05),但组间无明显差别(P>0.05);观察组患者术后疼痛及水肿程度明显轻于对照组,切口愈合时间明显缩短;切口感染并发症发生率小于对照组(P<0.05);随访显示所有患者未发生严重并发症及复发。结论改良纵切横缝术相较于常规纵切横缝术不增加手术难度,且具有术后并发症少、术后恢复快的优势,值得临床推广。
Objective To explore the clinical effects of modified longitudinally cut transverse suture operation for patients with chronic anal fissure. Methods 56 patients with chronic anal fissure were randomly divided into two groups （ each group with 28 patients）. The con- trol group received routine longitudinally cut transverse suture operation, and the observation group were given modified longitudinally cut transverse suture operation. The chages of anal canal diameter, postoperation pain, edema, healing time and infection of the two groups were compared. Results The postoperative anal canal diameter were significantly increased （ P 〈 0.05 ）, but there were no significant difference between the two groups （P 〉 0.05 ）. The observation group were of significantly lighter postoperative pain and edema, significantly shorter wound healing time, lower wound infection rate than the control group （P 〈 0.05）. The follow-up showed there were no serious complications and recurrence. Conclusion The treatment of modified longitudinally cut transverse suture does not increase the difficulty of operation, while it can faster the recovery with fewer complications. It is worthy of promotion.
出处
《局解手术学杂志》
2014年第1期34-35,38,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
肛裂
改良
纵切横缝术
内括约肌切断术
anal fissure
improvement
longitudinally cut transverse suture
internal sphincterotomy
