切开挂线术治疗肛门狭窄50例临床观察

Clinical observation of 50 cases with anal stenosis treated with the incision and thread drawing operation

目的:探讨采取切开挂线术治疗肛门狭窄的疗效。方法:2012年7月-2013年7月收治肛门狭窄患者50例,随机分为观察组和对照组,每组25例。其中观察组采取切开挂线术进行治疗,对照组采取切开扩张术进行治疗,比较两组在治疗后的实际效果,并且分析术后患者在每天排便数量、时间、疼痛时间、愈合时间、出血时间等因素的差异。结果:两者患者在采取不同的手术治疗后其疗效差异没有统计学意义(P>0.05),但是术后患者在每天排便数量、时间、疼痛时间、愈合时间、出血时间等因素差异具有统计学意义(P<0.05)。结论:在临床上针对肛门狭窄患者,采取切开挂线术比采用切开扩张术具有更好的疗效,值得临床推广。

Objective:To explore the effect of patients with anal stenosis treated with the incision and thread drawing operation.Methods:50 cases with anal stenosis were selected from July 2012 to July 2013.They were randomly divided into the observation group and the control group with 25 cases in each.The observation group were treated with incision and thread drawing operation.The control group were treated with incision and dilatation operation.We compared the efficacy of the two groups,and analyzed the patient's difference among daily defecation quantity,time,the time of pain,healing time,bleeding time and so on after operation.Results:The difference in treatment effect between the two groups was not significant(P>0.05),but,after treatment,the difference in daily defecation quantity,time,the time of pain,healing time,bleeding time of the two groups were significant(P<0.05).Conclusion:Clinically,for the patients with anal stenosis,the effect of incision and thread drawing operation is better than incision and dilatation operation,and it is worthy of clinical promotion.