微波配合序贯扩肛治疗陈旧性肛裂疗效观察  

Sequential Anal Dilation and Microwave Treatment of Chronic Anal Fissure

作　　者：刘红波[1] 秦志山[1] 来运钢[1] 刘孝武[2] 杨安[1] 

机构地区：[1]河北省邯郸市中心医院普外二科,邯郸056001 [2]河北工程大学附属医院检验科,邯郸056001

出　　处：《中国普外基础与临床杂志》2010年第12期1279-1281,共3页Chinese Journal of Bases and Clinics In General Surgery

基　　金：河北省科技攻关项目(项目编号:062761412)~~

摘　　要：目的分析、比较2种治疗陈旧性肛裂方法的临床疗效和特点。方法将96例陈旧性肛裂患者按就诊单双号分成2组:观察组48例,行微波配合序贯扩肛治疗;对照组48例,行后位内括约肌部分切断。对2种方法的术中出血量、创口愈合时间、创口感染率、肛门感染率、肛门控制情况、术后排便改善情况、肛门狭窄发生率及复发率进行比较分析。结果观察组的术中出血量及创口愈合时间均少于对照组(P<0.01),肛门控制情况优于对照组(P<0.05)。2组患者术后均无创口感染及肛门感染病例发生。2组术后随访1年,均无复发病例,术后排便情况均得到改善,观察组肛门狭窄发生率低于对照组(P<0.05)。结论微波配合序贯扩肛治疗陈旧性肛裂简便易行,患者痛苦小、效果好,值得推广。Objective To analyze and compare the clinical efficacy and advantage between two treatments methods for chronic anal fissure.Methods Divided 96 patients with chronic anal fissure into two groups based on the odd and even numbers of treatment order： 48 patients in study group received sequential anal dilation and microwave treatment,and 48 patients in control group received posterior internal sphincterotomy.The blood loss in operation,wound healing time,wound infection rate,anal infection rate,anal control,postoperative defecation function,anal stenosis rate,and the recurrence rate between the two groups were compared and analyzed.Results Blood loss and wound healing time were less in study group than those in control group（P0.01）.Anal control was better in study group than that in control group（P0.05）.There were no occurrences of wound infection or anal infection,and the defecation function was improved in both of the two groups.There was no recurrence after one year follow-up in both of the two groups.Anal stenosis rate in study group is lower than that in control group（P0.01）.Conclusion The technique of sequential anal dilation and microwave treatment can reduce pain,and is simple,effective,and worthy of promotion.

关 键 词：微波 扩肛 陈旧性肛裂 治疗 疗效 

分 类 号：R657.14[医药卫生—外科学]