侧切结扎缝合术治疗慢性肛裂100例疗效观察

Therapeutic effects observation of 100 cases of lateral incision ligation and suture in treatment of chronic anal fissure

目的:观察侧切结扎缝合术对慢性肛裂的治疗效果。方法:将慢性肛裂患者100例随机分为治疗组与对照组两组,每组各50例,治疗组实施侧切结扎缝合术,对照组实施开放式侧位切断术;通过观察对比两组患者手术后肛门疼痛程度、创面愈合时间、创面感染发生率、治愈率及复发率等情况;结果进行统计学分析。结果:两组均全部治愈,治疗组术后第1天及首次排便时肛门疼痛明显较对照组轻(P<0.01);治疗组创面愈合时间(11.42±2.74d),明显短于对照组(20.72±3.54d)(P<0.01);术后感染治疗组4例(8.0%),对照组2例(4.0%),无统计学差异(P>0.05);6个月后回访,治疗组复发3例(6.0%),对照组复发1例(2.0%),无统计学差异(P>0.05)。结论:侧切结扎缝合术对肛裂的疗效确切,创面愈合较开放式侧位切断术快、患者痛苦轻。

This study was aimed to analyze therapeutic effects of lateral incision ligation and suture in treatment of anal fissure.Methods One hundred adult with chronic anal fissure were divided randomly into two groups of experimental group（n=50） and control group（n=50）.Experimental group treated with lateral incision ligation and suture methods, Control group treated with opened lateral incision.Through observation and comparison of two groups with postoperative anal pain, healing time, infection rate, cure rate and recurrence rate,etc.Resuts The all patients in two groups were cured well. The pain on the first postoperative day and during the first time of defecation was less in experimental group than that in control group（P0.01）.The wound was healed ealier in experimental group（11.42±2.74 d）than that in control group（20.72±3.54）（P0.01）.Four cases in experimental group（8.0%） and two cases in control group（4.0%） were infectedafter operation（P0.05）.The follow-up showed that 3 cases in experimental group（6.0%）and one case in control group（2.0%） were recurred 6 months after operation.Conclusion Lateral incision ligation and suture is effective inthe treatment of analfissure,which is better than opened lateral incision in wound healing and local pain after surgery.