两种术式在慢性肛裂中的应用及对预后的影响观察  

Application of Two Surgical Procedures in Chronic Anal Fissure and Its Influence on Prognosis

作　　者：乔新新 詹成 吴昌旭 Qiao Xinxin;Zhan Cheng;Wu Changxu(Pingmei Shenma Medical Group General Hospital,Anorectal Branch,Pingdingshang 467000,China)

机构地区：[1]平煤神马医疗集团总医院肛肠科,河南平顶山467000

出　　处：《哈尔滨医药》2020年第4期311-312,共2页Harbin Medical Journal

摘　　要：目的观察后位内括约肌(IAS)节段式部分切开术、后位IAS切开术在慢性肛裂(CAF)中的应用及对预后的影响。方法回顾性分析平煤神马医疗集团总医院64例CAF患者的临床资料,根据治疗术式将其分为后位IAS节段式部分切开术组(A组,n=29)和后位IAS切开术组(B组,n=35)。观察手术情况,术后1周时评估疗效,记录并发症发生率。结果两组手术时间、失血量、疗效差异无统计学意义(P>0.05)。A组切口愈合时间短于B组(P<0.05)。A组并发症发生率低于B组(P<0.05)。结论相较于后位IAS切开术,后位IAS节段式部分切开术治疗CAF与之效果相当,并有助于缩短患者术后切口愈合时间,减少并发症,更具优势。Objective To observe the application of IAS segmental partial incision and posterior IAS incision in chronic anal fissure and its influence on prognosis.Methods The clinical data of 64 patients with chronic anal fissure were retrospectively analyzed.According to the treatment procedure,they were divided into posterior IAS segmental partial incision group(group A,n=29)and posterior IAS incision group(group B,n=35).The operation was observed,and the effect was evaluated 1 week after surgery,and the incidence of complications was recorded.Results There were no significant differences in the operation time,intraoperative blood loss and efficacy between the two groups(P>0.05).The healing time of incision in group A was shorter than that in group B(P<0.05).The incidence of complications in group A was lower than that in group B(P<0.05).Conclusion Posterior IAS segmental incision is equivalent to posterior IAS incision for chronic anal fissure.Posterior IAS segmental incision can help shorten the time of postoperative incision healing,reduce complications,and have advantages.

关 键 词：慢性肛裂 后位内括约肌节段式部分切开术 后位内括约肌切开术 预后 

分 类 号：R657.1[医药卫生—外科学]