CAJ | 학술논문

目的：探讨肛门内括约肌部分切断术联合中药对肛裂的治疗效果。方法：肛裂患者80例，观察组(40例)予肛裂切除术与肛门内括约肌部分切断术，术后予中药治疗，对照组(40例)予肛裂切除术，术后常规处理，对比两组疗效。结果：两组患者全部治愈，均未发生肛门失禁等严重并发症，伤口愈合时间无显著差异(P>0.05)；观察组术后VAS疼痛指数及止痛药用量均显著优于对照组(P<0.01)。结论：肛门内括约肌部分切断术配合中药熏洗、坐浴治疗与生肌玉红膏外敷的方法在肛裂患者的治疗中确切疗效。
목적：탐토항문내괄약기부분절단술연합중약대항렬적치료효과。방법：항렬환자80례，관찰조(40례)여항렬절제술여항문내괄약기부분절단술，술후여중약치료，대조조(40례)여항렬절제술，술후상규처리，대비량조료효。결과：량조환자전부치유，균미발생항문실금등엄중병발증，상구유합시간무현저차이(P>0.05)；관찰조술후VAS동통지수급지통약용량균현저우우대조조(P<0.01)。결론：항문내괄약기부분절단술배합중약훈세、좌욕치료여생기옥홍고외부적방법재항렬환자적치료중학절료효。
Objective: To study the effects of partial internal sphincterotomy combined with Chinese herbs in anal fissure. Methods:80 patients with anal fissure were randomly devided into two groups, the observation group (40 cases) was treated with anal fissure resection and patial internal sphincterotomy combined with Chinese herbs, the control group (40 cases) was given resection of anal fissure, contrast the clinical effects. Results:All patients were cured, there were no anal incontinence, no significantly difference in wound healing time between the two groups (P>0.05);the VAS pain index and painkillers dose in the observation group was significantly better than the control group (P<0.01). Conclusion:Partial internal sphincterotomy combined with Chinese herbs has curative effect in anal fissure.