侧向扩肛联合改良纵切横缝术治疗慢性肛裂的临床分析  

Clinical analysis of lateral anal expansion combined with improved longitudinal incision and transverse suture in the treatment of chronic anal fissure

作　　者：何志勇 He Zhiyong(The Third Department of Surgery,Chongyang Hospital of Traditional Chinese Medicine of Xianning City,Hubei Province,Hubei Xianning 437500)

机构地区：[1]湖北省咸宁市崇阳县中医院三外科,湖北咸宁437500

出　　处：《中国社区医师》2021年第23期28-30,共3页Chinese Community Doctors

摘　　要：目的:分析侧向扩肛联合改良纵切横缝术治疗慢性肛裂的临床效果。方法:2018年9月-2020年9月收治慢性肛裂患者120例,随机分为两组,各60例。常规组采取传统开放式手术治疗;观察组接受侧向扩肛联合改良纵切横缝术治疗。比较两组治疗效果。结果:观察组治疗总有效率高于常规组,差异有统计学意义(P<0.05);观察组术后第7天的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)水平均低于常规组,差异有统计学意义(P<0.05);观察组便血次数、术中出血量、住院时间均低于常规组,差异有统计学意义(P<0.05);观察组疼痛评分及疼痛缓解时间均明显低于常规组,差异有统计学意义(P<0.05);观察组术后第1天及术后第7天的肛管直径均低于常规组,肛管最大收缩压、肛管静息压及直肠静息压水平均高于常规组,差异有统计学意义(P<0.05);观察组并发症发生率低于常规组,差异有统计学意义(P<0.05)。结论:侧向扩肛联合改良纵切横缝术治疗慢性肛裂,具有较高临床应用价值。Objective:To analyze the clinical effect of lateral anal expansion combined with improved longitudinal incision and transverse suture in the treatment of chronic anal fissure.Methods:From September 2018 to September 2020,120 cases of patients with chronic anal fissure were enrolled,they were randomly divided into two groups with 60 cases in each group.The conventional group was treated with traditional laparotomy.The observation group was treated with lateral anal expansion combined with improved longitudinal incision and transverse suture.The therapeutic effects between the two groups was compared.Results:The total effective rate of treatment in the observation group was higher than that in the conventional group,the difference was statistically significant(P<0.05).After 7 days of operation,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),and C-reactive protein(CRP)in the observation group were lower than those in the conventional group,the differences were statistically significant(P<0.05).The times of bloody stools,intraoperative bleeding volume and lengths of stay in the observation group were lower than the conventional group,the differences were statistically significant(P<0.05).The pain score and pain relief time of the observation group were significantly lower than those of the conventional group,the differences were statistically significant(P<0.05).The diameter of the anal canal in the observation group on the first day after the operation and the seventh day after the operation was lower than that of the conventional group,the maximum systolic pressure of the anal canal,the resting pressure of the anal canal and the resting pressure of the rectum were higher than those of the conventional group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the conventional group,the difference was statistically significant(P<0.05).Conclusion:Lateral anal expansion combined with improved longitudinal incision and t

关 键 词：侧向扩肛 改良纵切横缝术 慢性肛裂 临床疗效 

分 类 号：R657.14[医药卫生—外科学]