3种术式治疗慢性肛裂的临床比较  

Clinical Comparison of Three Procedures for Chronic Anal Fissure

作　　者：王万民[1] 孙福堂[1] 易知华[1] 何玉峰[1] 刘晓辉[1] 

机构地区：[1]湖北省东风公司花果医院肛肠外科,湖北十堰442001

出　　处：《中国肛肠病杂志》2007年第4期49-50,共2页Chinese Journal of Coloproctology

摘　　要：比较3种手术方法治疗慢性肛裂的效果，探讨慢性肛裂最佳手术方式。对463例肛裂患者分别采用后正中切扩术、侧位闭式切扩术、侧位内括约肌挑出切扩术治疗，观察疗效及并发症。463例患者4周内全部治愈。侧位闭式切扩术疼痛最轻、出血最少，但复发率较高；后正中切扩术出血较多、疼痛较重，对肛门功能影响大，但复发少，远期效果好；侧位内括约肌挑出切扩术具有前两组手术方法的优点，但有潜在切口感染的可能。慢性肛裂应根据患者的具体情况，制定个体化手术方案。The objective of this study was to compare the curative effects of three operation techniques for chronic anal fissure, and to discuss the clinical choice of operation scheme for chronic anal fissure. Using prospective random comparison, the curative effect and complication of 463 patients to posterior midline sphincterotomy, closed lateral sphincterotomy, open lateral sphincterotomy were observed. The 463 patients were all healed within four weeks. Adopted closed lateral sphincterotomy, the patients feel the most light pain,and the hemorrhage was the least,but the recurrence rate was higher. Adopted midline sphincterotomy, the patients feel heavier pain, and the hemorrhage was more, and the effect on the anal function was large,while the recurrence rate was advantages of other two operation schemes mentioned above, but the third operation has above two advantages, while has the possibility of potential infection of incisional wound. Every operation scheme has its advantage and shortage, so individual operation scheme should be instituted according to the patient＇s concrete status in the premise that the patient know and agree the scheme.

关 键 词：肛裂 手术 疗效观察 

分 类 号：R657.14[医药卫生—外科学]