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指扩加保持器治疗慢性肛裂

Application of finger dilatation retainers in the treatment of chronic anal fissure

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【作者】 鞠应东李强宋伟

【Author】 Ju Yingdong, Li Qiang, Song Wei. Clinical College of Taishan Medical College, Liaocheng People’s Hospital, Liaocheng 252000,Shandong, China

【机构】 山东省聊城市人民医院(泰山医学院临床学院)

【摘要】 目的介绍一种治疗慢性肛裂的方法——指扩加保持器治疗法。方法肛门周围局部浸润麻醉,行指扩至肛管可容纳4指,然后肛管内放入保持器5~8min后取出。结果用指扩加保持器治疗慢性肛裂163例,治愈161例(98.78%),括约肌扩张术147例,治愈138例(93.88%)。对术后症状缓解时间、疼痛消失时间、肛裂存在率、失禁或肿胀率两组比较,指扩加保持器治疗效明显优于括约肌扩张术。结论用指扩加保持器治疗肛裂,操作简便,患者痛苦小,愈合时间短,治愈率高。

【Abstract】 Objective To introduce a method for the treatment of chronic anal fissure using finger dilatation retainers. Methods Finger dilatation retainers was used in 163 patients suffering chronic anal fissure. Under local anesthesia dilate the anus to 4 fingers, put the finger dilatation retainers in for 5-8 min. Anal dilatation was used in 147 patients suffering chronic anal fissure. Results In finger dilatation retainers group, 161 patients were cured (98.78%). In anal dilatation group, 138 were cured (93.88%). Finger dilatation retainers was better than anal dilatation in postoperative pain relief time, the rate of persistent fissure, incidence of incontinence or engorgement. Conclusion Finger dilatation retainers is a simple method with less pain, shorter healing time and high healing rate in the treatment of anal fissure.

  • 【文献出处】 结直肠肛门外科 ,Journal of Colorectal & Anal Surgery , 编辑部邮箱 ,2008年05期
  • 【分类号】R657.1
  • 【被引频次】3
  • 【下载频次】39
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