CAJ | 학술논문

[目的]评价侧方内括约肌切开术与肛裂切除U型皮瓣推移术治疗慢性肛裂的效果.[方法]回顾性分析2008年2月至2011年1月治疗的67例慢性肛裂患者的临床资料,并比较两种手术方式在手术时间、肛裂愈合时间、术后并发症发生率的差别.[结果]内括约肌切开组患者全部愈合,皮瓣推移组患者2例感染后推移皮瓣裂开经换药引流愈合,其余均一期愈合.两组手术时间分别为(29±3)min、(45±4)min;术后肛裂愈合时间分别为(19.0±2.7)d、(8.7±1.2)d,组间比较差异有统计学意义(P＜0.01).两组患者感染及肛门失禁的发生例数比较差异无统计学意义.[结论]肛裂切除U型皮瓣推移术可作为替代侧方内括约肌切开术治疗慢性肛裂的一种手术方法.
[목적]평개측방내괄약기절개술여항렬절제U형피판추이술치료만성항렬적효과.[방법]회고성분석2008년2월지2011년1월치료적67례만성항렬환자적림상자료,병비교량충수술방식재수술시간、항렬유합시간、술후병발증발생솔적차별.[결과]내괄약기절개조환자전부유합,피판추이조환자2례감염후추이피판렬개경환약인류유합,기여균일기유합.량조수술시간분별위(29±3)min、(45±4)min;술후항렬유합시간분별위(19.0±2.7)d、(8.7±1.2)d,조간비교차이유통계학의의(P＜0.01).량조환자감염급항문실금적발생례수비교차이무통계학의의.[결론]항렬절제U형피판추이술가작위체대측방내괄약기절개술치료만성항렬적일충수술방법.
[Objective]To evaluate the effect lateral internal sphincterotomy and skin flap advanced plasty on chronic anal fissure.[Methods]The clinical data of 67 cases of chronic anal fissure from February 2008 to January 2011 were retrospectively analyzed.The differences in operation time,healing time and incidence of postoperative complications were compared.[Results]All patients in the internal sphincterotomy group healed after surgery.Two cases in the skin flap advanced plasty group failing with primary healing,healed after dressing change and drainage while the rest cases were all successful.The operation time were (29± 3) min and(45±4) min respectively,the healing time were(19.0±2.7)d and (8.7±1.2)d,respectively.The differences between the two groups were significant(P＜0.01).There was no significant difference in infection and fecal incontinence.[Conclusions]Skin flap advanced plasty is an alternative method to lateral internal sphincterotomy for chronic anal fissure.