喙状刀治疗Ⅱ期肛裂临床研究

Clinical Study of Ⅱ Stage Anal Fissure Treated with Coracoid Knife

目的:观察自制喙状刀治疗Ⅱ期肛裂的临床疗效。方法:将100例Ⅱ期肛裂患者随机分为治疗组(喙状刀内括约肌侧切组)和对照组(普通内括约肌侧切组)治疗,每组50例,对比观察两组疗效、术后疼痛、平均住院时间等指标。结果:两组总有效率均为100%,治疗组术后疼痛平均(2.76±1.11)分,对照组术后疼痛平均(5.75±1.57)分;治疗组创口平均愈合时间(8.67±2.82)天,对照组创口平均愈合时间(16.26±3.68)天。两组疗效无明显差异,但术后疼痛、平均住院时间比较差异有显著统计学意义(P<0.01),且治疗组优于对照组。结论:喙状刀治疗Ⅱ期肛裂临床疗效肯定,且可减轻术后疼痛,缩短住院时间。

Objective ： To evaluate the clinical efficacy of II stage of anal fissure treated with coracoid knife. Methods ： One hun-~ dred subjects were randomly divided into two groups ： treatment group in which 50 cases were treated with coracoid knife, and con- trol group in which 50 cases were treated by lateral internal sphineterotomy. The clinical efficacy, postoperative pain, and tlealing time were observed in the two groups. Results ： There was no significant difference in total effective rate between two groups which were 100% separately. The postoperative pain score was （2.76 _＋ 1. 11 ） in treatment group whereas （5.75 -＋ 1.57 ） in control group. The healing time was（ 8.76 ~ 2.82）days in treatment group whereas（ 16.26 ~ 3.68 ）days in control group. The postopera- tive pain score and healing time were of significance（ P 〈 0.01 ） between two groups. Conclusion ： The coracoid knife has a better clinical efficacy in treating anal fissure of II stage, with slight postoperative pain and shorter treatment course.