中西医结合治疗肛裂临床体会

Clinical experience on treating anal fissure in integrative medicine

目的:提高肛裂治愈率,减少患者痛苦。方法:I期新鲜肛裂采用对症内服中药、封闭或加扩肛疗法;II期多采用扩肛、括约肌切断术;III期多采用切除术加内括约肌松解术,将哨兵痔、肥大的肛乳头及皮下瘘管一并切除。三期疗法中都相应辅助使用熏洗、通便、敷药等疗法。结果:I期痊愈78人,好转1人;II期痊愈102人,好转7人,未愈1人;III期痊愈20人,好转1人。总治愈率96%,好转率3.8%,未愈率0.47%。结论:中西医结合治疗肛裂疗效显著,治愈率较高。

Objective：To improve the cure rate of anal fissure,reduce pain in patients.Methods：Phase I,fresh anal fissure was treated with TCM,closed or plus expand anus therapy;Phase II,using expand anus,sphincterotomy;Phase III,using resection plus sphincter lysis,cut off Sentinel hemorrhoids,hypertrophy anal papillae and subcutaneous fistula.These therapy all were added fumigation, laxative,dressing therapy.Result：Phase I cured 78 patients,1 patient was improved;Phase II,102 patients were cured,7 patients were improved,1 patient invalid;Phase III,20 cases were cured,1 case were improved.The total effective rate was 96%,improvement rate was 3.8%,healed rate was 0.47%.Conclusion：The effect of treating anal fissure in integrative medicine was notable,the cure rate was high.