搔刮加小针刀内括约肌切断术治疗肛裂的临床效果观察  

Curative effect of lateral incision of interior sphincter with small needle knife and erasion ulceration on anal fissure

作　　者：王蓉荻[1,2] 王竞[1,2] 詹娇阳[1,2] 董大海[1,2] 凌光烈[1,2] 

机构地区：[1]中国医科大学第一附属医院肛肠科,辽宁沈阳110001 [2]大连大学附属新华医院肛肠外科,辽宁大连116000

出　　处：《安徽医药》2011年第3期324-326,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察和评估搔刮加小针刀内括约肌切断术治疗肛裂的临床疗效。方法将120例肛裂病人随机分为两组,小针刀组行搔刮加小针刀内括约肌切断术(78例),传统组行开放式内括约肌切开术(42例),随访6～12个月。结果两种术式的治愈率无显著差别(P>0.05),但是在术后愈合时间,住院时间,术后并发症的发生等方面,有显著差别(P<0.05)。结论搔刮加小针刀内括约肌切断术治疗肛裂,具有微创,彻底,痛苦小,术后并发症少等优点,且操作简单,适合临床广泛应用。Aim To observe the clinical effect of lateral incision of interior sphincter with small needle knife and erasion ulceration on anal fissure.Methods One hundred and twenty cases of anal fissure were randomly divided into two groups.Seventy-eight cases in the treatment group were treated with small needle knife.The other forty-two cases in control group were treated with conventional incision method.Follow-up survey lasted six to twelve months.Results The curative rate of the treatment group and the control group was 95% and 90% respectively.In this aspect,the difference showed no statistical significance（P0.05）.There was significant difference in postoperative pain,healing time and anal function between the two groups（P0.05）.Conclusion Using small needle knife for lateral incision on interior sphincter is an effective and safe procedure for anal fissure,which is easy and proper for clinical application.

关 键 词：肛裂 小针刀 内括约肌 

分 类 号：R657.1[医药卫生—外科学]