摘要
目的探索后矢状位闭式切除部分内括约肌结合皮瓣移行治疗前位肛裂,与单纯肛裂切除敞开疗法对照,比较临床疗效。方法48例前位Ⅲ期肛裂患者随机分为治疗组和对照组各24例。治疗组采用闭式切除结合皮瓣移行法,对照组采用单纯肛裂切除敞开疗法,术前术后处理相同。结果术后6个月复发率治疗组低于对照组(P<0.01),近期治愈率,手术并发症无统计学意义(P>0.05)。结论临床观察表明,闭式切除术结合皮瓣移行法具有松解内括约肌,愈合时间短,疼痛降低等优点,是治疗前位Ⅲ期肛裂较好的术式。
Objective The objective of this study was to investigate the therapeutic effects of posterior internal sphincterotomy combined with advancement flap for anterior chronic anal fissure. Methods Fortyeight patients with anterior chronic anal fissure were randomly divided into two groups： treatment group （n=24 cases） underwent posterior internal sphincterotomy combined with advancement flap and control group （n=24 cases） underwent anal fissure excision. Pre-and post-operative managements in both groups were same. Results Six months after operation, the recurrence rate of treatment group was lower than that of control group（ P 〈0.01 ）, while there was no significant difference in incidence of postoperative complications between the two groups （ P 〉0.05）. Conclusion Posterior internal sphincterotomy combined with advancement flap is an effective method with shorter healing time, less pain for anterior chronic anal fissure.
出处
《结直肠肛门外科》
2008年第5期320-321,共2页
Journal of Colorectal & Anal Surgery
关键词
肛裂
皮瓣
手术
疗效观察
Anal fissure
advancement flap
Operation
therapeuic effects
