手指扩肛和手术治疗术后肛门直肠狭窄72例效果观察

Clinical Observation on Procedure of Finger to Enlarge Anal and Surgical Treatment of Postoperative Anorec- tal Stenosis in 72 Cases

为总结术后肛门与直肠狭窄的治疗经验，回顾性分析采用手指扩肛和敞开式手术方式、不加缝合手术创面治疗各类肛肠病手术后造成肛门与直肠狭窄患者72例，其中肛裂术后引起肛门狭窄6例，各类肛瘘术后引起肛门直肠狭窄12例，外痔术后引起肛门狭窄12例，混合痔术后引起肛门直肠狭窄8例，PPH术后引起直肠环状狭窄16例，各类直肠术后引起直肠狭窄18例。结果显示：治愈46例，好转26例，总有效率100％。结果表明，门诊诊治，局部麻醉，手术简单，疗效确切。痛苦少，疗程短，且无后遗症和并发症，更容易被患者所接受。

In order to summarize the experience of surgical treatment of postoperative anorectal stenosis,a retrospective study was conducted on 72 cases with postoperative anorectal stenosis who had received pro- cedure of finger to enlarge anal an open surgery without suture of wounds. Of the 72 cases,postoperative a- nal stenosis was due to anal fissure in 6 cases,due to anal fistula in 12 cases,due to external hemorrhoids in 12 cases,due to mixed hemorrhoids in 8 cases,postoperative circular rectal stenosis due to PPH in 16 ca- ses,postoperative rectal stenosis due to various rectal operation in 18 cases.The results showed that 46 ca- ses got cured,26 improved,the total effective rate was 100%.It is concluded that outpatient surgical treat- ment with local anesthesia is of simple operation,effectiveness,less pain,short course,and has no sequealae and complications, therefore, it is more likely to be accepted by the patients.