不同术式治疗肛裂的疗效分析

Analysis of therapeutic effects of different surgical treatment of anal fissure

目的：探究不同手术治疗肛裂的临床疗效，观察患者临床治疗效果。方法选取本院肛裂患者440例，将患者随机均分为治疗组和对照组。对对照组实施肛裂侧切术治疗，对治疗组在上述基础上实施括约肌松解术，对比治疗效果。结果治疗组手术疼痛程度在Ⅱ-Ⅲ之间44例、术后排尿困难10例、便血72例，对照组疼痛患者146例、术后排尿困难90例、便血178例。治疗组各项术后指标均明显好于对照组（P〈0.05）。结论肛裂切除术配合括约肌松解术能够从本质上改善肛裂指标，确保肛裂患者早日康复。

Objective To explore the clinical curative effect of different operation in the treatment of anal fissure, the clinical cu-rative effect observation. Methods 440 cases of anal fissure patients treated in this hospital were selected, the patients were ran-domly divided into treatment group and control group. On the implementation of the control group anal fissure lateral incision for the treatment group, on the basis of the implementation of the sphincter lysis, treatment effect comparison. Results The treatment group Ⅱ~Ⅲ degree of pain in operation between 44 cases, 10 cases of postoperative dysuria, blood in the stool in 72 cases,146 cases of control group, pain in patients with dysuria after operation in 90 cases, blood in the stool in 178 cases. The postoperative treatment group were significantly better than the control group （P〈0.05）. Conclusion Anal fissure excision with sphincter lysis can improve anal fissure index essentially, ensure that the anal fissure patients recover soon.