摘要
目的比较后位内括约肌节段式部分切开术与后位内括约肌切开术治疗慢性肛裂的临床效果。方法选取2012年10月至2014年11月崇礼县人民医院收治的慢性肛裂患者60例,其中30例行后位内括约肌切开术(A组),30例行后位内括约肌节段式部分切开术(B组),比较2组患者的手术时间、术中出血量、切口愈合时间、临床治疗效果、并发症及复发情况。结果 2组患者手术时间、术中出血量比较差异无统计学意义(P>0.05),B组患者切口愈合时间显著短于A组(P<0.05)。A、B组患者治疗总有效率分别为76.67%和83.33%,2组比较差异无统计学意义(P>0.05)。A、B组患者并发症发生率分别为66.67%和36.67%,B组患者并发症发生率显著低于A组(P<0.05)。术后3个月A、B组患者肛裂复发率分别为10.00%和6.67%,2组比较差异无统计学意义(P>0.05)。结论后位内括约肌节段式部分切开术与后位内括约肌切开术治疗慢性肛裂的临床效果相当,但后位内括约肌节段式部分切开术切口愈合快,术后并发症少。
Objective To compare the effect between partial segment posterior internal sphincterotomy and posterior internal sphincterotomy for treating chronic anal fissure. Methods Among the 60 patients with chronic anal fissure who were selected in the People＇s Hospital of Chongli County from October 2012 to November 2014,30 patients were treated with posterior internal sphincterotomy（ group A）,the other 30 patients were treated with partial segment posterior internal sphincterotomy（ group B）. The operation time,intraoperative bleeding volume,wound healing time,clinical effect,complication and recurrence were compared between the two groups. Results There was no significant difference in the operation time and intraoperative bleeding volume between the two groups（ P〉0. 05）. The wound healing time in group B was significantly shorter than that in group A（ P〈0. 05）. The total effective rate in group A and B was 76. 67% and 83. 33% respectively,there was no significant difference between the two groups（ P〉0. 05）. The incidence rate of complication in group A and B was 66. 67% and 36. 67%respectively,the incidence rate of complication in group B was significantly lower than that in group A（ P〉0. 05）. Three months after operation,the recurrence rate of anal fissure in group A and B was 10. 00% and 6. 67% respectively,there was no significant difference between the two groups（ P〉0. 05）. Conclusions The clinical effect of partial segment posterior internal sphincterotomy and posterior internal sphincterotomy for treating chronic anal fissure is similar. But partial segment posterior internal sphincterotomy for treating chronic anal fissure can obtain quick wound healing and less postoperative complications.
出处
《新乡医学院学报》
CAS
2015年第9期871-873,共3页
Journal of Xinxiang Medical University
关键词
慢性肛裂
后位内括约肌节段式部分切开术
后位内括约肌切开术
chronic anal fissure
partial segment posterior internal sphincterotomy
posterior internal sphincterotomy
