摘要
为探讨肛门后侧内括约肌联合部分外括约肌切断术治疗陈旧性肛裂的临床疗效,将2012年4月至2017年6月甘肃省兰州新区中川人民医院收治的84例陈旧性肛裂患者,按手术方式不同分为对照组和观察组,每组各42例。对照组采用单纯肛门内括约肌侧切术,观察组行肛门后侧部分内括约肌联合外括约肌切断术。观察比较2组患者的临床疗效、创口愈合时间、术后排便时疼痛视觉模拟(VAS)评分.以及复发率。结果显示.对照组术后治愈率为95.2%,术后3个月肛裂复发率为4.76%.观察组术后治愈率为100.0%,术后3个月肛裂复发率为2.38%.差异无统计学意义(P>0.05)。对照组术后首次排便、术后3 d排便及术后7 d排便时VAS评分均高于观察组,差异有统计学意义(P <0.05);对照组创口愈合时间(17.45±3.85) d,观察组创口愈合时间(11.02±3.2.1) d,差异有统计学意义(P <0.05)。结果表明,肛门后侧部分内括约肌联合外括约肌切断术治疗陈旧性肛裂可有效减轻术后排便疼痛程度,缩短术后创面愈合时间,具有临床应用价值。
To investigate the clinical effect of incision for anal posterior internal sphincter ＆ external sphincter partly in surgical treating chronic anal fissure （CAF）, 84 cases of CAF admitted in author＇s hospi- tal（2012-04-2017-06） were divided into control group （42 cases,received alone lateral incision of anal in- ternal sphincter） and observation one（42 cases,received above combined procedure） , according to different surgery patterns,then both groups＇ clinical effect, wound healing time, VAS score when bowel movement after surgery, and recurrence rate were compared. As results, in postoperative curative rate, in the recur- rence rate at 3 months after surgery there were all no statistical difference （95.2% vs 100%, 4.76% vs 2.38%, P 〉0.05）, but the VAS score after surgery in the first-time and at 3 days,at 7 days bowel move- ment control group was higher than observation one,there was statistical difference between two groups （ P 〈0.05）±wound healing time of obsevation group was significantly shorter than that of control one there was statistical difference between two groups[（11. 02 ± 3.24） d vs （17.45 ± 3.85） d, P 〈0.05]. Results show that above combined procedure for CAF can effectively alleviate pain during bowel movement after surgery, shorten wound-surface healing time, which has clinical application value.
作者
姬兰生
JI Lan-sheng(Zhongchuan People＇s Hospital,Lanzhou New Area,Lanzhou,Gansu 73000)
出处
《中国肛肠病杂志》
2018年第9期41-43,共3页
Chinese Journal of Coloproctology
关键词
陈旧性肛裂
内括约肌侧切术
部分外括约肌切断术
疗效
Chronic anal fissure
Lateral incision for internal sphincter
Partly incision of external sphincter
Effect
