Y—V皮瓣成形术治疗陈旧性肛裂的临床研究

Y-V Flap Plasty for Chronic Anal Fissure：Clinical Research

为探讨Y-V皮瓣成形术治疗陈旧性肛裂的临床疗效,将2015年9月至2016年9月收治的60例陈旧性肛裂患者随机分为观察组和对照组,各30例.观察组行Y-V皮瓣成形术,对照组行肛裂切除术.对比2组总体疗效、术后肛门疼痛程度,以及术后肛管测压结果.结果显示,观察组治愈28例,好转2例,总有效率为100%;对照组治愈27例,好转3例,总有效率为100%.2组总有效率比较差异无统计学意义,P〉0.05.观察组术后肛门疼痛程度明显优于对照组,P〈0.05.观察组术后最大肛管收缩压、肛管静息压和直肠静息压均明显低于对照组,P〈0.05.结果表明,Y-V皮瓣成形术治疗陈旧性肛裂安全有效,患者术后痛苦小,而且可有效降低肛管压力.

This study was to explore the clinical effect of chronic anal fissure treated with Y-V flap plasty, randomly divided 60 cases admitted in authors hospital from Sept. 2015 to Sept. 2016 into observation group and control one,30 cases for each; the former received Y-V flap plasty, the latter received resection for anal fissure;then whole effect,postoperative anal pain degree,and anal pressure value were compared between both groups.As results,in the former 28 cases were cured,2 got improved,and total effective rate was 100 ~//00, meanwhile, in the latter 27,3 and 100 %, respectively, thus there was no statistical difference between two groups（ P 〈0.05）;but in postoperative anal pain degree the former was superior to the latter （ P 〈0.05）,as well in max. anal systolic pressure, rest pressure and rectal rest pressure the former was significantly lower than the latter（ P 〈0.05）.Results show that Y-V flap plasty for chronic anal fissure is safe and effective with less patient＇s pain, can effectively reduce anal pressure.