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部分内括约肌后正中切断术与侧方位切断术治疗慢性肛裂的疗效比较 被引量:11

Comparison of curative effects of partial internal sphincterotomy in the posterior midline and lateral position in treatment of chronic anal fissure
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摘要 目的比较两种手术方法治慢性疗肛裂的效果,探讨肛裂手术方式的临床选择。方法将90例慢性肛裂患者按就诊先后顺序分为部分内括约肌后正中切断术组45例(对照组)和侧方位切断术组45例(治疗组),比较两组的疗效、疼痛程度、愈合时间、复发情况。结果两组在疗效、疼痛程度、愈合时间、复发情况方面差异均有统计学意义(P<0.05),治疗组优于对照组。结论部分内括约肌侧方位切断术治疗肛裂具有治愈率高、疼痛程度轻、愈合时间短、对肛门外形影响小等优点,优于后正中部分切断术。 Objective To compare the curative effect of two surgical methods in treatment of chronic anal tissure,in order to select an optimized clinical surgical procedure. Methods Ninety patients with chronic anal fissure were divided into two groups ac- cording to the order in which they saw a doctor. One group (n = 45 ) were treated with partial internal sphincterotomy in the posterior midline (control group) and another (n = 45 ) treated with partial lateral internal sphineterotomy (treatment group). The cure rate, degree of pain, healing time and recurrence were compared between two groups. Results The treatment group had significant higher cure rate,less pain, shorter healing time, and lower recurrent rate than that of control group ( P 〈 0.05 ). Conclusion Partial lateral internal sphincterotomy has the advantage over partial internal sphincterotomy in the posterior midline for clinical treatment of the disease.
出处 《实用医院临床杂志》 2012年第4期120-121,共2页 Practical Journal of Clinical Medicine
关键词 内括约肌 肛裂 疗效 Internal sphincterotomy Chronic anal fissure Effect
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