纵切横缝术对比肛裂切除术治疗肛裂的临床疗效及安全性评价的Meta分析  

Clinical Efficacy and Safety of Longitudinal Transverse Suture Versus Anal Fissure Resection Treating Anal Fissure:A Meta Analysis

作　　者：路军 李惠雯 LU Jun;LI Hui-wen(Taoyuan County People's Hospital,Taoyuan,Hunan415700;Hunan University of Traditional Chinese Medicine,Changsha,Hunan410208)

机构地区：[1]湖南省桃源县人民医院,桃源415700 [2]湖南中医药大学,长沙410208

出　　处：《实用中西医结合临床》2025年第2期1-4,65,共5页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的评价纵切横缝术和肛裂切除术治疗肛裂的疗效及安全性差异。方法计算机检索中国知网、万方数据库、维普中文期刊、PubMed、Web of Science中关于纵切横缝术和肛裂切除术治疗肛裂的临床随机对照试验,检索时间为建库至2024年7月30日,应用RevMan5.3进行Meta分析。结果共纳入12项研究952例患者。Meta分析显示在有效率和治疗前后肛管直径变化方面,纵切横缝术和肛裂切除术无明显差异;纵切横缝术在缩短创面愈合时间、减轻术后疼痛、减少并发症发生、降低复发率等方面均优于肛裂切除术。结论纵切横缝术和肛裂切除术均能有效治疗肛裂,扩大肛管直径,但纵切横缝术相比于肛裂切除术更能有效缩短创面愈合时间,减轻创面疼痛,减少术后并发症的发生,降低复发率。Objective To assess the difference in clinical efficacy and safety of application of longitudinal transverse suture and anal fissure resection in the treatment of anal fissure.Methods The clinical randomized controlled trials on longitudinal transverse suture and anal fissure resection for the treatment of anal fissure were searched by computer from CNKI,Wanfang database,VIP Chinese technology journal database,PubMed and Web of Science technology database.The search period was from the beginning of the database establishment to July 30,2024.Subsequently,we performed a meta-analysis using the RevMan5.3 software.Results A total of 12 studies encompassing 952 patients were incorporated.The findings of the meta-analysis revealed no notable discrepancy in the efficacy rate or alterations in anal canal diameter between longitudinal transverse suture and anal fissure resection.Longitudinal transverse suture surgery was effective in shortening the wound healing time,the reduction of postoperative pain,complications and recurrence rate were better than those in the anal fissure resection group.Conclusion Both longitudinal and anal fissure resection can effectively treat anal fissures and expand the diameter of the anal canal,but compared to anal fissure resection,longitudinal transverse suture significantly diminish wound healing time,alleviate wound pain,mitigate the incidence of postoperative complications,and lower the recurrence rate.

关 键 词：肛裂 纵切横缝术 肛裂切除术 META分析 

分 类 号：R657.14[医药卫生—外科学]