摘要
目的观察肛门内括约肌侧方半切结扎塑型术治疗陈旧性肛裂的疗效。方法将60例陈旧性肛裂患者随机分为治疗组和对照组,每组30例。对照组采用肛门内括约肌后切开术治疗,治疗组采用肛门内括约肌侧方半切结扎塑型术治疗。观察比较两组患者术后疼痛、术后出血、创面面积、创面愈合时间等情况。结果 (1)组间比较,治疗组术后第1天、第3天、第7天疼痛、出血积分均低于同期对照组(P<0.05)。(2)组间比较,治疗组术后第1天、第3天、第7天、第14天创面面积评分均低于同期对照组(P<0.05)。(3)两组创面愈合时间比较,差异有统计学意义(P<0.05)。结论肛门内括约肌侧方半切结扎塑型术治疗陈旧性肛裂,能减少术后出血、减轻术后疼痛、缩小创面面积并缩短创面愈合时间。
Objective To observe the efficacy of hemisection and ligation surgery of lateral anal internal sphincter in the treatment of chronic anal fissure.Methods60 patients with chronic anal fissure were randomly divided into the treatment group and control group,30 cases in each group.The control group was treated with anal internal sphincterotomy and the treatment group was treated with hemisection and ligation surgery of lateral anal internal sphincter.The postoperative pain and bleeding,wound area and wound healing time were observed and compared between the two groups.Results（1）On the 1 st,3 rd and 7 th day after the operation,the pain and bleeding scores in the treatment group were lower than those in the control group at the corresponding period（P〈0.05）.（2）On the 1 st,3 rd,7 th and 14 th day after the operation,the wound area score in the treatment group was lower than that in the control group at the corresponding period（P〈0.05）.（3）There was statistically significant difference on the wound healing time between the two groups（P〈0.05）.Conclusion The hemisection and ligation surgery of lateral anal internal sphincter in the treatment of chronic anal fissure can reduce the bleeding and relieve the pain after surgery,diminish the wound area and shorten the wound healing time.
作者
蒋伟冬
殷立新
申早立
陆金根
王佳雯
JIANG Weidong;YIN Lixin;SHEN Zaoli;LU Jin＇ gen;WANG Jiawen(Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, Chin)
出处
《上海中医药杂志》
2018年第6期56-58,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81473683)
上海市科学技术委员会中医引导项目(15401931100)
关键词
肛裂
内括约肌
挂线
结扎
anal fissure
internal sphincter
seton
ligation
