改良纵切横缝术治疗慢性肛裂的临床研究  

The clinical research of modified longitudinally cut transverse suture operation for chronic anal fissure

作　　者：石章铁[1] 钟艳[1] 彭东辉[1] 

机构地区：[1]邛崃市医疗中心医院肛肠科,四川邛崃611530

出　　处：《结直肠肛门外科》2010年第3期146-148,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨改良纵切横缝术治疗慢性肛裂的临床疗效。方法将80例慢性肛裂患者随机分成2组,治疗组(40例)采用改良纵切横缝术:对照组(40例)采用常规纵切横缝术。对2组患者的术后疗效、愈合时间、术后并发症等进行观察比较。结果观察组与对照组在肛管直径变化无明显差异(P>0.05);切口平均愈合时间,观察组12.15±2.55d,对照组15.99±3.36d,两组比较差异有统计学意义(P<0.01);术后并发症发生率(切口疼痛、切口水肿、切口感染、排尿障碍)观察组少于对照组,两组比较差异有统计学意义(P<0.05);随访6个月,两组共80例患者均无复发。结论改良纵切横缝术治疗慢性肛裂的临床疗效优于纵切横缝术,尤其是在切口愈合时间、降低手术后切口水肿、疼痛、感染方面具有明显优势;具有操作简便,与纵切横缝术相比不增加手术的难度,易于掌握,便于临床推广。Objective To investigate the clinical effects of modified longitudinally cut transverse suture operation in the treatment of chronic anal fissure.Methods Eighty patients with chronic anal fissure were divided randomized into two groups.The control group （40 patients） received routine longitudinally cut transverse suture operation,and the treatment group（40 patients）with modified longitudinally cut transverse suture operation.Results There was no significant difference between the two groups in the diameter change of the anal canal（P0.05）.The mean time of wound healing in the treatment group （12.15±2.55d） was significantly shorter than that in the control group（15.99±3.36d） （P0.01）.The incidence of the postoperative complication in the treatment group was lower than that in the control group.At follow-up of 3 months,there was no recurrence in both groups.Conclusion The modified longitudinally cut transverse suture operation can reduce the postoperative complications and the wound-healing time.It is simple,effect,easy to be widely used.

关 键 词：肛裂 改良纵切横缝术 

分 类 号：R657.14[医药卫生—外科学]