【摘要】 为观察肛裂切除术联合侧方内括约肌部分切断术治疗慢性肛裂的临床疗效,将2016年4月至2017年4月我院收治的60例慢性肛裂患者随机分为2组,各30例,一组行肛裂切除术联合侧方内括约肌部分切断术治疗(联合手术组),另一组仅行肛裂切除术治疗(单一手术组),对比2组手术疗效。结果显示,联合手术组总有效率(100%)高于单一手术组(86.7%),P <0.05。联合手术组术中出血量、创面愈合时间、住院时间均少于单一手术组,P <0.05。联合手术组术后1年复发率(0)明显低于单一手术组(10.0%),P <0.05。结果表明,肛裂切除术联合侧方内括约肌部分切断术治疗慢性肛裂术中出血少,术后疼痛轻,创面愈合快,复发率低,近远期疗效均满意,值得临床推广应用。更多还原

【Abstract】 To investigate the clinical effect of chronic anal fissure surgically treated with a combined procedure(resection of anal fissure plus lateral internal part sphincterotomy), 60 cases who received treatment in author’s hospital(2016-04 — 2017-04) were randomly divided into combined surgery group( n =30, received above combined procedure) and alone surgery group( n =30,alone resection of anal fissure),then both groups’ surgical effect was compared.As results,the former was higher than the latter in total effective rate(100% vs 86.7%, P <0.05),and shorter than the latter in intraoperative bleeding volume,in woundsurface healing time,and in hospitalization time(all, P <0.05),as well as lower than the latter in postoperative 1-year recurrence rate(0 vs 10.0%, P <0.05).Results show that above combined procedure in the former has such merits as less intraoperative bleeding volume, light pain after surgery, faster wound-surface healing,low recurrence rate,and high satisfactory degree in shorter-term and long-term in the treatment of chronic fissure in ano.It is worthy of clinical popularization and application.更多还原