【摘要】 目的探讨内括约肌部分切断对肛门周围感染性疾病挂线手术后疼痛的影响。方法采用同期对照试验,将连续挂线手术治疗的40例分为两组,分别采用部分切断内括约肌(A组)和不切断内括约肌(B组)的挂线治疗,由患者对手术后挂线期间排便、休息时疼痛进行VAS评分,比较其疼痛程度的差异。结果40例均痊愈,无复发,无肛门失禁。A组手术后挂线期间排便、休息时疼痛程度低于B组(P<0.05或P<0.01),挂线脱落后两组疼痛程度差异无显著性(P>0.05)。结论内括约肌切断能显著减轻挂线手术后肛门伤口疼痛,是降低挂线手术后肛门疼痛的有效方法。更多还原

【Abstract】 Objective To study the influence of partial internal sphincterotomy on the postoperative pain after cutting seton treatment in patients with perianal infection. Methods A controlled study was carried out on 40 cases of cutting seton insertion with (Group A) or without (Group B) partial internal sphincterotomy. The subjects reported their postoperative pain at defecation and at rest respectively using a visual analogue scale (VAS). The intensity of pain between the two groups was compared. Results All the 40 patients were cured, without recurrence or fecal incontinence. During the period of cutting seton treatment, the pain scores at defecation and at rest were lower in the Group A than in the Group B ( P <0.05 or P <0.01). After the detachment of the seton, there were no significant differences in the pain scores between the two groups ( P >0.05). Conclusions Internal sphincterotomy can significantly relieve anal pain after cutting seton treatment, being an effective method.更多还原