肛裂切除括约肌松解术治疗肛裂96例临床观察  

Clinical Observation of 96 Cases of Anal Fissure Treated by Anal Fissure Resection and Sphincter Release

作　　者：郑天一 ZHENG Tianyi(Shenyang Anorectal Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市肛肠医院,辽宁沈阳110000

出　　处：《中国医药指南》2020年第27期119-120,共2页Guide of China Medicine

摘　　要：目的观察肛裂切除括约肌松解术治疗肛裂的临床疗效。方法192例肛裂患者均为2016年8月至2018年2月在沈阳市肛肠医院接受治疗,以不同的治疗方案作为分组依据,将192例患者分为对照组(n=96,采用常规手术治疗)与观察组(n=96,采用肛裂切除括约肌松解术治疗)。对比手术观察指标、疼痛评分、并发症发生率、治疗总有效率、复发率。结果观察组手术观察指标、疼痛评分、并发症发生率、复发率、治疗总有效率均优于对照组,两组数据比较,有统计学意义(P<0.05)。结论肛裂切除括约肌松解术治疗肛裂,不仅可以缩短手术时间、创面愈合时间、住院时间,减少术中出血量,还能缓解疼痛感,减少复发率。Objective To observe the clinical efficacy of anal fissure resection and sphincter release for the treatment of anal fissure.Methods All 192 patients with anal fissure were treated in Shenyang Anorectal Hospital from August 2016 to February 2018.Based on different treatment plans,192 patients were divided into control groups(n=96,with conventional surgery treatment)and observation group(n=96,treated with anal fissure resection and sphincter release).Compare the surgical observation indexes,pain score,complication rate,total effective rate of treatment,and recurrence rate.Results The observation group's surgical observation index,pain score,complication rate,recurrence rate,and total effective rate of treatment were better than those of the control group.The data comparison between the two groups was statistically significant(P<0.05).Conclusion Anal fissure resection and sphincter release for the treatment of anal fissure can not only shorten the operation time,wound healing time,hospitalization time,reduce intraoperative blood loss,but also relieve pain and reduce the recurrence rate.

关 键 词：肛裂 肛裂切除括约肌松解术 疼痛评分 并发症发生率 治疗总有效率 

分 类 号：R657.14[医药卫生—外科学]