2种微创术治疗肛裂临床疗效观察  

Therapeutic Results of Two Microsurgical Procedures in the Treatment of Anal Fissure

作　　者：颜亨祥 姚越苏[2] 

机构地区：[1]昆明市五华区人民医院,云南昆明650031 [2]昆明医学院第一附属医院,云南昆明650032

出　　处：《昆明医科大学学报》2012年第4期115-117,共3页Journal of Kunming Medical University

摘　　要：目的探索肛裂更有效的治疗方法,为临床手术选择提供依据.方法将263例肛裂患者随机分为金属细导线侧后方内括约肌电切松解术(Ⅰ组,简称电扩切组)和定位电扩切组(Ⅱ组、简称电扩切组)并比较其疗效及并发症.结果 2组近期均治愈,Ⅰ组在疼痛程度和疼痛时间及创面愈合方面优于Ⅱ组,差异有统计学意义(P<0.05).但Ⅱ组治率高,复发率低(P<0.05).结论两种肛裂微创术近期疗效确切,操作简单安全.值得临床推广应用,但2种手术方法治疗肛裂各有优缺点,应结合医院及病人情况应用.Objective To explore a better method of treatment anal fissure so as to offer basis for selecting procedures clinically.Methods 263 cases of this disease were divided into two groups :I group's patients were subjected to posterior lateral with mental fine wire electric incision of internal sphincter.Ⅱgroup's patients were given electric incision and dilatation procedure at fissure point Ten we compare their curative effects and incidence of complications.Results In short-term patients in the two groups were all cured.For the pain degree and pain last time,healing time of wound,the I group was superior to Ⅱgroup(P<0.05).But the curative ratein Ⅱgroup higher than I group(P<0.05).Conclusion These two microsurgical procedures is of reliable effect,and safe recently,and is of the value of clinical popularization.But the two procedures should be adopted according to the specific conditions of patients

关 键 词：肛裂 微创 疗效观察 

分 类 号：R657.14[医药卫生—外科学]