改良内括约肌侧切术治疗Ⅲ期肛裂疗效观察  

Improved Procedure of Lateral Internal Sphinccerotomy in the Treatment of Ⅲ Stage Anal Fissure：Observation on Therapeutic Effect

作　　者：胡新亚[1] 李芳[1] 

机构地区：[1]云南省曲靖市第一人民医院,云南曲靖655000

出　　处：《中国肛肠病杂志》2011年第5期46-47,共2页Chinese Journal of Coloproctology

摘　　要：为观察内括约肌后位侧切加肛裂病灶切除术（改良内括约肌侧切术）治疗Ⅲ期肛裂的疗效，将128例Ⅲ期肛裂患者随机分为治疗组和对照组，治疗组64例采用内括约肌左后或右后位侧切加肛裂病灶切除术，对照组64例采用传统内括约肌侧切加肛裂病灶切除术，术后随访2年，两组进行疗效对比。结果显示，两组病例均治愈，创面在术后4周内全部愈合，但治疗组在术后疼痛、创口愈合时间、复发率方面明显优于对照组。结果表明，内括约肌左后或右后位侧切加肛裂病灶切除术是传统内括约肌侧切术的改进，疗效明显优于后者。The objective of this study was to investigate the therapeutic effect of the improved procedure（i. e left or right posterior lateral internal sphincterotomy plus resection of ano-fissure lesion） in the treatment of anal fissure of Ⅲ stage. The 128 patients were randomly divided into two groups：treatment group and controlled group,64 cases/per group. The patients of treatment group were subjected to the improved procedure,the patients of controlled group to traditional internal sphincterotomy plus resection of ano-fissure lesion;postoperative follow-up was for 2 years,then therapeutic effects of both groups were compared each other. As results,the patients of both groups were all cured,and their wound surface were all healing later 4 weeks after operation; But, in postoperative pain,healing time of wound and recurrence rate treatment group was all superior to controlled group. Results show that above-mentioned improved procedure has better therapeutic effect than traditional procedure.

关 键 词：肛裂 内括约肌侧切术 疗效观察 

分 类 号：R657.140.5[医药卫生—外科学]