改良纵切横缝术治疗慢性肛裂60例疗效观察

Modified Longitudinal Incision & Transverse Suture in the Treatment of Chronic Anal Fissure:Effect Observation of 60 Cases

为观察改良纵切横缝术治疗慢性肛裂的临床疗效,将慢性肛裂患者120例随机分为传统组和改良组,每组60例。传统组患者采用传统纵切横缝术治疗,改良组患者采用改良纵切横缝术治疗,比较2组患者的临床疗效、肛管直径、创面愈合时间、疼痛程度及术后并发症发生情况。结果显示,改良组患者临床总有效率高于传统组(P <0.05),2组患者术前、术后肛管直径差异比较无统计学意义(P>0.05),改良组患者创面愈合时间短于传统组(P <0.05),改良组患者轻度疼痛比例高于传统组(P <0.05),改良组患者术后并发症发生率低于传统组(P <0.05)。结果表明,改良纵切横缝术可明显提高慢性肛裂患者的临床疗效,缩短创面愈合时间、减轻患者疼痛,且术后并发症发生率明显降低。

To observe the clinical effect of modified longitudinal incision &transverse suture(LITS)in the treatment of chronic anal fissure(CAF),120 patients with CAF were randomly divided into the traditional group and the modified group,60 cases in each group.Patients in the traditional group were treated with traditional LITS,while those in the modified group were treated with modified LITS.The clinical effect,anal canal diameter,wound healing time,pain degree and postoperative complications were compared between the two groups.As results,the total effective rate in the modified group was higher than that in the traditional group(P <0.05).There was no significant difference in the diameter of anal canal before and after treatment between the two groups(P <0.05),the time of wound healing in the modified group was shorter than that in the traditional group(P <0.05).The rate of mild pain in the modified group was higher than that in the traditional group(P <0.05).The rate of postoperative complications in the modified group was lower than that in the traditional group(P <0.05).The results show that the modified LITS could improve the clinical effect,shorten the wound healing time,relieve the pain,and significantly reduce the postoperative complications.