摘要
目的比较肛门后正中切扩加肛窦切开引流术与内括约肌侧切术治疗慢性肛裂的临床疗效。方法慢性肛裂病人106例,按照数字表法随机分为研究组和对照组,每组各53例。研究组采取肛门后正中切扩加肛窦切开引流术,对照组采取内括约肌侧切术,对比两组治疗结果。结果研究组总有效率98.11%,与对照组总有效率94.34%相比,差异无统计学意义(P>0.05);研究组并发症发生率为5.66%、复发率7.55%,低于对照组的16.98%和20.75%,差异有统计学意义(P<0.05);研究组创面愈合、住院时间均短于对照组(P<0.05);治疗前两组VAS、生活质量评分相比差异无无统计学意义(P>0.05)。研究组治疗后VAS评分低于对照组,但生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论肛门后正中切扩加肛窦切开引流术与内括约肌侧切术均对慢性肛裂病人具有一定价值,但前者效果更好,治疗时间缩短,可降低对病人的伤害,避免复发,减轻疼痛。
Objective To compare the efficacy of midline sphincterotomy plus anal sinus drainage or lateral incision of internal sphincter in chronic anal fissure.Methods 106 chronic anal fissure patients treated were selected and randomly assigned to two groups,53 cases each group.The study group was treated with midline sphincterotomy plus anal sinus drainage;the control group was treated with lateral incision of internal sphincter.The therapeutic effect was compared.Results The total effective rate in the study group and control group was 98.11% and 94.34%,without statistical differences(P>0.05);the complication rate and recurrence rate in the study group was 5.66% and 7.55%,which was lower than that of control group(16.98%,20.75%)(P<0.05);the wound healing time and hospitalization time in the study group was shorter than control group(P<0.05);before surgery,the VAS(visual analogue scale)scores and quality of life scores showed no statistical differences(P>0.05);after surgery,the related scores in the study group were better than control group(P<0.05).Conclusion The midline sphincterotomy plus anal sinus drainage or lateral incision of internal sphincter have its effect in chronic anal fissure patients,but the former can better shorten the treatment time,reduce the clinical trauma and recurrent rate,relieve the pain and increase the quality of life.
作者
胡江林
朱静芳
袁海涛
邓明
童端
周凯亮
HU Jianglin;ZHU Jingfang;YUAN Haitao(Department General Surgery 3,East Lake Area People's Hospital,Wuhan City,Hubei Province,Wuhan 420102,China)
出处
《临床外科杂志》
2019年第7期597-599,共3页
Journal of Clinical Surgery
基金
2017年湖北省卫生计委指导性资助项目(WJ2017F027)
关键词
内括约肌侧切术
慢性肛裂
肛窦切开引流术
肛门后正中切扩术
lateral incision of internal sphincter
chronic anal fissure
anal sinus drainage
midline sphincterotomy
