反挑切开术治疗肛裂311例

Rebound Incision in Treatment of 311 Cases with Anal Fissure

目的:观察反挑切开术治疗肛裂的疗效。方法:前期传统手术治疗的肛裂276例为对照组,后期应用反挑切开术治疗的311例为治疗组,对疗效、术后疼痛及出血、水肿、肉芽组织生长和平均愈合时间等进行对照比较。结果:治疗组治愈率97.7%,对照组77.1%(P<0.01);治疗组疼痛程度、水肿、肉芽组织生长以及平均愈合时间明显优于对照组(P<0.01或P<0.05)。结论:反挑切开术治疗肛裂疗效确切,损伤较少,易于操作。

Objective To observe the therapeutic effect of rebound incision on anal fissure.Methods Traditional pre-surgical treatment was done for anal fissure in 276 cases in the control group, and latter applica-tion of rebound incision treatment in 311 cases in the treatment group. The efficacy of postoperative pain andbleeding, edema, granulation tissue growth and average healing time was compared in both groups.Results The cure rate of 99.7% in the control group was 77.1%（P〈0.01）; and the degree of pain relief, edema, granu-lation tissue growth and average healing time in the treatment group was significantly better than those in thecontrol group（P〈0.01 or P〈0.05）.ConclusionThe treatment of anal fissure by rebound incision is effi-cient, less damage, and easy to operate.