肛门内括约肌侧切术治疗肛裂临床效果分析

Clinical effect analysis of internal anal sphincterotomy for anal fissure

目的:分析肛门内括约肌侧切术治疗肛裂的临床效果。方法:2015-2019年收治肛裂患者50例,随机分为两组,各25例。对照组在骶管麻醉下行肛门扩张术,并给予高锰酸钾坐浴,使用清热泻火、润肠通便的药物;试验组在常规治疗基础上行肛门内括约肌部分切断术。比较两组治疗效果。结果:试验组治疗总有效率显著高于对照组,试验组恢复时间、2年内复发率、并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:在骶管麻醉下行肛门内括约肌部分切断术治疗肛裂疗效确切。

Objective:To analyze the clinical effect of internal anal sphincterotomy in the treatment of anal fissure.Methods:From 2015 to 2019,50 patients with anal fissure were enrolled,they were randomly divided into two groups with 25 cases in each group.The control group underwent anal dilatation under caudal anesthesia and was given a potassium permanganate sitting bath,medicines for clearing heat,purging fire and laxative were used;The experimental group underwent partial anal sphincterotomy on the basis of routine treatment.The therapeutic effects between the two groups were compared.Results:The total effective rate of treatment in the experimental group was significantly higher than in the control group,the recovery time of the experimental group,the recurrence rate within 2 years and the incidence of complications were lower than in the control group,the differences were statistically significant(P<0.05).Conclusion:The treatment of anal fissure with partial anal sphincterotomy under caudal anesthesia is effective.