摘要
为分析、比较三种术式治疗慢性肛裂的临床疗效，回顾分析行肛裂后位内括约肌切断术、盲视下肛裂侧切术和直视下内括约肌挑切缝合术治疗的401例肛裂患者资料，对三种手术方法术后的创面愈合时间、疼痛、肛门控制功能、复发率、治愈率进行对比分析。结果显示，挑切缝合术组综合疗效优于其他两组；后位挑切术组复发率低，但创面愈合时间较长，控便能力易受损；盲视下侧切术操作时间短、疼痛轻，但复发率高。结果表明，三种术式各有优缺点，但侧方挑切术综合疗效略优于其他两种术式。
The objective of this study was to analyse and compare the therapeutic effects of three procedures for anal fissure. Author analysed the date of 401 cases,who were subjected to posterior incision of internal sphincter,blind lateral incision for anal fissure, and open poking ＆ incision and suture of internal sphincter, respectively; and compared their healing time of wound, patient＇s pain, anal control function, recurrence rate and curative rate of the three procedures. As results, the comprehensive therapeutic effects of the third procedure were superior to other two procedures ; the first one had lower recurrence rate but longer healing time of wound, and easily injured anal control function;the second one needed shorter manipulation time, patient＇s pain was mild, but recurrence rate was higher. Results show that each of the three procedures has all its advantages and shortcomes, but the third one is slightly superior to other ones.
出处
《中国肛肠病杂志》
2010年第4期52-53,共2页
Chinese Journal of Coloproctology
关键词
肛裂
手术
疗效比较
Anal fissure
Operation
Comparison on curative effect
