摘要
目的观察肛门后侧位内外括约肌联合切断术治疗陈旧性肛裂的效果。方法选取2015年9月—2016年9月张掖市甘州区人民医院陈旧性肛裂患者120例为研究对象。采用随机数字表法将患者分为甲组、乙组、丙组,各40例。甲组采取肛门后侧位内外括约肌联合切断术进行治疗,乙组采用后位切扩术进行治疗,丙组采用侧位切扩术进行治疗。观察并比较3组临床疗效、术中并发症发生情况、术后疼痛程度评分。结果甲组治愈率高于乙组、丙组(P<0.05);乙组治愈率与丙组比较,差异无统计学意义(P>0.05)。3组术中并发症发生情况、术后疼痛程度评分比较,差异无统计学意义(P>0.05)。结论肛门后侧位内外括约肌联合切断术治疗陈旧性肛裂的临床效果优于后位切扩术以及侧位切扩术,且其并发症的发生情况与其他手术方式无差异,可在临床应用中进行推广。
Objective To observe and analyze the therapeutic effect of posterior lateral anal sphincter combined with anus in the treatment of old anal fissure.Methods One hundred and twenty patients with old anal fissure in Zhangye Ganzhou District People’s Hospital from September 2015 to September 2016 were selected as the study subjects.The patients were divided into group A,group B and group C by random number table,40 cases in each group.Group A was treated with posterior lateral anal sphincter combined with anus,group B with posterior resection and dilatation,and group C with lateral resection and dilatation.The clinical efficacy,intraoperative complications and postoperative pain scores of the three groups were observed and compared.Results The cure rate of group A was higher than that of group B and group C(P<0.05).There was no significant difference in the cure rate between group B and group C(P>0.05).There was no significant difference in the incidence of intraoperative complications and postoperative pain scores among the three groups(P>0.05).Conclusion The clinical effect of posterior lateral anal sphincter combined with anus in the treatment of old anal fissure is better than that of posterior resection and dilatation and lateral resection and dilatation,and the occurrence of complications is not different from that of other surgical methods,so it can be popularized in clinical application.
作者
孟繁举
魏春龙
吕越明
雷天明
杨刚
MENG Fan-ju;WEI Chun-long;LYU Yue-ming;LEI Tian-ming;YANG Gang(Department of General Surgery,Zhangye Ganzhou District People's Hospital,Zhangye 734000,China)
出处
《中国全科医学》
CAS
北大核心
2018年第A02期101-102,共2页
Chinese General Practice
关键词
肛裂
肛门后侧位内外括约肌联合切断术
治疗结果
Fissure in ano
Posterior lateral anal sphincter combined with anus
Treatment outcome
