CAJ | 학술논문

目的：探讨慢性肛裂应用肛裂切除加外括约肌部分切断术进行治疗的临床效果。方法：选取本院2009-2013年收治的慢性肛裂患者306例，随机分为A组、B组、C组，每组102例。A组接受单纯肛裂切除术治疗；B组接受肛裂切除联合内括约肌切断术治疗；C组接受肛裂切除术联合外括约肌切断术治疗。并比较3组临床治疗效果。结果：手术后，A组总有效率为52.9%，B组总有效率为97.1%，C组总有效率为98.0%。B组和C组临床治疗效果明显优于A组，两组比较差异有统计学意义（P<0.05）；B组与C组临床治疗效果比较差异无统计学意义（P>0.05）。结论：慢性肛裂患者应用肛裂切除加外括约肌部分切断术进行治疗的临床效果显著，值得推广应用。
목적：탐토만성항렬응용항렬절제가외괄약기부분절단술진행치료적림상효과。방법：선취본원2009-2013년수치적만성항렬환자306례，수궤분위A조、B조、C조，매조102례。A조접수단순항렬절제술치료；B조접수항렬절제연합내괄약기절단술치료；C조접수항렬절제술연합외괄약기절단술치료。병비교3조림상치료효과。결과：수술후，A조총유효솔위52.9%，B조총유효솔위97.1%，C조총유효솔위98.0%。B조화C조림상치료효과명현우우A조，량조비교차이유통계학의의（P<0.05）；B조여C조림상치료효과비교차이무통계학의의（P>0.05）。결론：만성항렬환자응용항렬절제가외괄약기부분절단술진행치료적림상효과현저，치득추엄응용。
Objective: To explore the clinical effect of anal fissure excision plus external sphincter amputation in treatment of chronic anal fissure. Method: Three hundred and six patients with chronic anal fissure from 2009 to 2013 in the hospital were divided into A group, B group, each group of 102 cases. Group A underwent excision of anal fissure excision of anal fissure treatment; group B given anal fissure excision and internal sphincterotomy therapy; group C treated by anal fissure resection with external sphincterotomy therapy. Then the clinical curative effect were compared of the three groups. Result: The effective rate of the group A was 52.9% while the group B was 97.1% and the group B was 98.0 after treatment. The clinical treatment effect of group B and group C was significantly better than the group A(P<0.05); The clinical treatment effect of group B and group C had no significant difference (P>0.05).Conclusion: The clinical effect of anal fissure excision plus external sphincter amputation in treatment of chronic anal fissure is excellent. It is worth popularization and application.