U形皮肤移动术治疗陈旧性肛裂的临床观察

Clinical Observation of the Therapeutic Effect of U-shaped Skin Flap Incision ＆ Advancement Suture in the Treatment of Chronic Anal Fissure

为探讨U形皮肤移动术治疗陈旧性肛裂的疗效，将150例陈旧性肛裂随机分成A、B、C3组，A组用肛裂切除术治疗，B组用纵切横缝皮肤移动术治疗，C组用U形皮肤移动术治疗，观察3组患者的术后反应和创口愈合时间。B、C组术后疼痛、便血发生率较A组明显减少（P〈0．01），C组术后便血比B组少（P〈0．05）；B组创口愈合时间为（15．6±6．3）d，C组创口愈合时间为（13．2±4．5）d，均短于A组的（18．7±3．2）d（P〈0．01），C组创口愈合时间短于B组（P〈0．05）。结果表明，陈旧性肛裂应采用U形皮肤移动术治疗，其效果优于肛裂切除术和纵切横缝皮肤移动术。

The therapeutic effect of u-shaped skin flap incision ＆ advancement suture was evaluated. One hundred and fifty cases with chronic anal fissure were divided into 3 groups randomly. Patients in group A received anal fissure recision, patients in group B received vertical incision ＆ horizontal suture of the skin,and patients in group C received U-shaped skin flap incision ＆ advancement suture. The postoperative reactions and healing time were observed. As results, the postoperative pain and hematochezia in group B and C were notably reduced than that in group A（ P 〈0.01） ,and hematochezia in group C was further reduced than that in group B（ P 〈0.05）;the wound healing period of time in group B was （15.6±6.3）days,and that in group C was （13.2±4.5）days,being shorter than that in group A（18. 7±3.2）days （ P 〈0. 05）. It is concluded that the therapeutic effect of U-shaped skin flap incision ＆ advancement suture is the best among the three surgical procedures.