肛裂切除术与纵切横缝术治疗肛裂的临床效果分析

Analysis of Clinical Effect of Anal Fissure Resection and Longitudinal Incision and Transverse Suture in the Treatment of Anal Fissure

目的:对比肛裂切除术与纵切横缝术治疗肛裂的临床效果。方法:选取2016年11月-2018年12月在笔者所在医院进行手术治疗的50例肛裂患者作为本次研究对象,将其随机分为对照组(n=25)和观察组(n=25)。对照组采用肛裂切除术治疗,观察组采用纵切横缝术治疗。比较两组临床疗效、术后并发症发生率、疼痛率及伤口愈合时间。结果:观察组治疗总有效率为96.00%,高于对照组的92.00%,但两组比较差异无统计学意义(P>0.05)。观察组术后并发症发生率为36.00%,高于对照组的12.00%,差异有统计学意义(P<0.05)。观察组术后12 h疼痛率为72.00%,低于对照组的96.00%,差异有统计学意义(P<0.05)。观察组伤口愈合时间(9.5±2.6)d,短于对照组的(15.2±2.3)d,差异有统计学意义(P<0.05)。结论:两种手术方式治疗肛裂的效果均较好,纵切横缝术术后疼痛率更低,伤口愈合更快,但术后并发症发生率较肛裂切除术高,临床上应根据患者的病情和具体情况来灵活选择手术方式。

Objective:To compare the clinical effect of anal fissure resection and longitudinal incision and transverse suture in the treatment of anal fissure.Method:From November 2016 to December 2018,50 patients with anal fissure who received surgical treatment in our hospital were selected as the subjects of this study.They were randomly divided into the control group(n=25)and the observation group(n=25).The control group was treated with anal fissure resection.The observation group was treated with longitudinal incision and transverse suture.The clinical effect,postoperative complication rate,pain rate and wound healing time were compared between the two groups.Result:The total effective rate of treatment in the observation group was 96.00%,which was higher than 92.00%in the control group,but there was no statistically significant difference between the two groups(P>0.05).The incidence of postoperative complications in the observation group was 36.00%,which was higher than 12.00%in the control group,the difference was statistically significant(P<0.05).The pain rate of the observation group was 72.00%after 12 h of surgery,which was lower than 96.00%of the control group,the difference was statistically significant(P<0.05).The wound healing time of the observation group was(9.5±2.6)d,which was shorter than(15.2±2.3)d of the control group,the difference was statistically significant(P<0.05).Conclusion:Both of the two surgical methods have good effects in the treatment of anal fissure.The postoperative pain rate of longitudinal incision and transverse suture is lower and wound healing is faster,but the postoperative complication rate is higher than that of anal fissure resection.Therefore,the surgical method should be selected flexibly according to the patient’s condition and specific conditions in clinic.