肛裂手术方法的选择及评价

Selection and Evaluation of Anal Fissure Surgery Method

目的：对肛裂手术方法进行选择评价.方法：将2014年2月～2015年2月某院住院部收治60例肛裂患者随机分对照组、干预组.对照组为后位肛门内括约肌切开术,干预组为后位内括约肌节段式部分切开术,对比两组疗效及并发症发生率.结果：干预组临床总有效率为93.33%（28/30）,明显高于对照组;术后并发症发生率为10.00%（3/10）,明显低于对照组（犘〈0.05）.结论：后位内括约肌节段式部分切开术对肛裂患者进行治疗的效果确切,并发症少,值得推广.

Objective:To evaluate and select anal fissure surgery method.Methods:60cases with anal fissure treated in a hospital from February 2014 to February 2015,who were randomly divided into control group and intervention group.The control group were treated by anal sphincterotomy,and the intervention group were treated by sphincter within a sectional part dissection.Then compare the efficacy and complications.Results:The the total effective rate of the intervention groupwas 93.33%(28/30),significantly higher than that of the control group.The incidence of postoperative complications of the intervention group was10.00%(3/10),significantly lower than the control group(P<0.05).Conclusion:An internal sphincter sectional part dissection for treatment in patients is effective for patients with anal fissure effect with fewer complications,which is worthy of promotion.