改良纵切横缝术治疗慢性肛裂的临床应用效果及安全性分析

Analysis of clinical efficacy and safety of modified longitudinal section and transverse suture in the treatment of chronic anal fissure

目的:探究改良纵切横缝术治疗慢性肛裂的临床应用效果及安全性。方法:2016年1月-2020年6月收治慢性肛裂患者106例,随机分为两组,各53例。对照组给予传统肛裂切除术治疗;试验组给予改良纵切横缝术治疗。比较两组治疗效果。结果:试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05);试验组手术出血量、便血次数、疼痛缓解时间、住院时间、炎性因子水平及并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:慢性肛裂患者接受改良纵切横缝术治疗,安全有效。

Objective:To explore the clinical effect and safety of modified longitudinal section and transverse suture in the treatment of chronic anal fissure.Methods:From January 2016 to June 2020,106 cases of patients with chronic anal fissure were enrolled,they were randomly divided into two groups with 53 cases in each group.The control group was treated with traditional anal fissure resection.The experimental group was treated with modified longitudinal section and transverse suture.The therapeutic effects between the two groups was compared.Results:The total effective rate of treatment in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05).The amount of bleeding loss,the number of blood stool,the time of pain relief,the length of hospital stays,the indexes levels of inflammatory factors and the incidence of complications of the experimental group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Modified longitudinal section and transverse suture in the treatment of chronic anal fissure is safe and effective.