定位扩切术治疗慢性肛裂的临床观察  

Clinical Observation on the Procedure of Localization and Extended Resection for Chronic Fissure in ano

作　　者：姜春英[1] 陈飞[2] 

机构地区：[1]山东中医药大学附属医院肛肠科,山东济南250011 [2]南方医科大学珠江医院普外科

出　　处：《中国肛肠病杂志》2008年第12期42-43,共2页Chinese Journal of Coloproctology

摘　　要：为克服慢性肛裂传统疗法的缺点，探讨更完善的手术治疗方法，采用定位扩切术治疗慢性肛裂26例，并与传统手术疗法治疗的24例进行对比观察。结果显示，治疗组愈合时间（17．8±3．7）d，对照组为（26．8±3．5）d（P〈0．05）；术后疼痛、排尿障碍、肛门功能异常发生率，治疗组也明显优于对照组。经3个月随访，两组复发率无差异。结果表明，定位扩切术治疗慢性肛裂，切除范围准确，打破了痉挛-缺血-疼痛的恶性循环，疗效好，并发症少，操作简单，较传统手术疗法有明显优势。For the objective of overcoming the shortcomes of traditional therapy for chronic fissure in ano,and to probe into the more perfect surgical ones authors adopted the procedure of localization and extended resection to treat 26 cases of chronic fissure in ano, and compared their treatment with the traditional surgical therapy performed in 24 cases（as control）. Results showed that the healing time of the former group and controlled group was （17.8±3.7）d and （26.8±3.5）d,respectively（ P 〈0.05）;in postoperative pain, dysuria and anal dysfunction, the incidences of treatment group were all superior to those of controlled group;within the follow-up of 3 months the recurrence rates of both groups had not statistical difference. The results show that the procedure of localization and extended resection has following advantages：its resection range being accurate,it breaking up the vicious circle of ＂Spasm-ischemia-pain＂ ,also having better therapeutic effects, less complication, simple manipulation, thus significantly superior to traditional surgical therapy.

关 键 词：肛裂 定位扩切术 临床观察 

分 类 号：R657.14[医药卫生—外科学] R614.42[医药卫生—临床医学]