改良纵切横缝术治疗慢性肛裂的临床研究

Clinical efficacy of modified longitudinally cut transverse suture operation in the treatment of chronic anal fissure

目的观察改良纵切横缝术治疗慢性肛裂的临床效果。方法将50例慢性肛裂患者随机分成两组,观察组(25例)采用改良纵切横缝术,对照组(25例)采用开放式内括约肌切断术。比较两组患者的术后疼痛情况、愈合时间、疗效及并发症等。结果观察组患者术后疼痛及第一次换药疼痛程度均明显轻于对照组,切口愈合时间明显缩短(P<0.05);两组患者均获得痊愈,切口感染并发症发生率差异无统计学意义(P>0.05),无严重并发症及复发病例。结论改良纵切横缝术治疗慢性肛裂的临床疗效在术后疼痛、切口愈合时间方面具有明显优势。

Objective To study the clinical effect of modified longitudinally cut transverse suture operation in the treatment of chronic anal fissure. Methods Fifty patients with chronic anal fissure were divided into two groups randomly. The control group （n=25） received routine longitudinally cut transverse suture operation, and the ob-servation group （n=25） applied with modified longitudinally cut transverse suture operation. The two groups were compared in postoperative pain, time of wound healing, clinical efficacy and complications. Results The degree of postoperative pain and the first dressing change pain in the observation group was significantly lighter than those in the control group, and the time of wound healing in the observation group was significantly shorter （P〈0.05）. Patients in both groups were cured, and the incidence of incision infection showed no statistically significant difference （P〉0.05）. There were no serious complications and recurrence occurred in the two groups. Conclusion For treating chronic anal fissure, modified longitudinally cut transverse suture operation is advantageous in postoperative pain and time of wound healing, which is worthy of promotion.