次侧方肛裂切扩术联合苦参汤治疗慢性肛裂的临床疗效观察

Clinical observation on the effects of sublateral incision of internal sphincterotomy plus the Kushen decoction on chronic anal fissure

目的:观察次侧方肛裂切扩术联合苦参汤治疗慢性肛裂的临床疗效。方法:将福建中医药大学附属第三人民医院收集的60例慢性肛裂患者采用随机数分组的方法分为观察组及对照组,每组30例。观察组采用次侧方肛裂切扩术,术后联合中药苦参汤熏洗,对照组采用后正后方切扩术,术后予高锰酸钾(1∶5000)清洗。观察两组间各项指标及疗效。结果:观察组与对照组临床有效率的差异无统计学意义(P>0.05),两种术式均可解除括约肌痉挛,但术后疼痛评分、愈合时间、术后并发症的发生率均低于对照组(P<0.05)。结论:次侧方肛裂切扩术联合苦参汤治疗慢性肛裂效果佳,可有效降低肛管压力,缩短愈合时间,减少伤口假性愈合,减轻术后伤口疼痛。

Objective:To observe the efficacy of sublateral incision of internal sphincterotomy plus the Kushen decoction(苦参汤)on chronic anal fissure.Methods:60 cases of chronic anal fissure collected in our hospital were randomly divided into the observation group and the control group,30 cases in each group.The observation group was treated by sub lateral incision of internal sphincterotomy plus the Kushen decoction sitz bath,and the control group was treated by posterior incision of internal sphincterotomy and was cleaned with potassium permanganate(1∶5000)after surgery.The indexes and clinical effect between the two groups were observed.Results:There was no significant difference in the clinical effect between two groups(P>0.05).Both surgical methods could relieve sphincter spasm,but the postoperative pain score,healing time and incidence of postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusion:Sublateral incision of internal sphincterotomy plus the Kushen decoction is more effective in the treatment of chronic anal fissure,which can effectively reduce the pressure of anal,shorten the healing time,reduce the pseudo wound healing,and relieve postoperative wound pain.