CAJ | 학술논문

　　目的比较皮瓣缝合改良术和内括约肌部分切断术治疗肛裂的效果，及相关并发症，判断其优劣。方法将2012年我科室收治Ⅲ期肛裂患者64例，随机分成治疗组32例，采用肛门带蒂皮瓣横移缝合技术，对照组32例，采用内括约肌部分切断术。术后6个月跟踪随访，在愈合时间、术后疼痛及肛门功能恢复等方面比较分析。结果两组患者均全部治愈。但治疗组愈合时间短，疼痛程度轻、肛门功能恢复佳，两组比较有显著差异（P<0.05）。结论皮瓣缝合改良术治疗Ⅲ期肛裂疗效好，疼痛轻，恢复快，较内括约肌部分切断术治疗肛裂更具优势。
　　목적비교피판봉합개량술화내괄약기부분절단술치료항렬적효과，급상관병발증，판단기우렬。방법장2012년아과실수치Ⅲ기항렬환자64례，수궤분성치료조32례，채용항문대체피판횡이봉합기술，대조조32례，채용내괄약기부분절단술。술후6개월근종수방，재유합시간、술후동통급항문공능회복등방면비교분석。결과량조환자균전부치유。단치료조유합시간단，동통정도경、항문공능회복가，량조비교유현저차이（P<0.05）。결론피판봉합개량술치료Ⅲ기항렬료효호，동통경，회복쾌，교내괄약기부분절단술치료항렬경구우세。
Objective To compare flap suture improved part and inner sphincter amputation for the treatment of anal fissure, and related complications, judging its quality. Methods In 2012 patients with stage I department treated Ⅲ anal fissure of 64 cases randomly divided into treatment group 32 cases, lateral movement by anus pedicle flap suture technique, the control group 32 cases, with internal sphincter amputation. After 6 months folow-up, the healing time, postoperative pain, and comparative analysis of anal function, etc. Results Two groups of patients were al cured. But the treatment group healing time is short, light pain, anal function recovery, compared two groups have significant difference (P < 0.05). Conclusion Flap suture for the treatment of modified Ⅲ period anal fissure good curative effect, light pain, rapid recovery, the part sphincter amputation in treatment of anal fissure.