CAJ | 학술논문

目的：探讨改良肛裂切口扩创术在陈旧性肛裂治疗中的作用。方法将2009年1月～2012年12月广东省河源市人民医院94例陈旧性肛裂I期及I I期患者均分为对照组与观察组（n=47）。对照组采用常规肛裂侧位内括约肌切断手术进行手术，观察组采用改良肛裂切开扩创术进行手术，术后均进行药物辅助治疗，观察2组患者的分期治愈情况、疼痛比较、创面愈合时间及术后肛门功能。结果观察组治愈率为88.7%，显著高于对照组的71.7%（χ2=4.810，P=0.028）；观察组和对照组术后疼痛评分分别为(4.67±2.64 vs 5.09±2.79)、创面愈合时间（15.3±2.09）d vs (16.8±2.34)d，相比较差异无统计学意义；术后1年随访均未发现肛门不完全性失禁以及肛门狭窄等不良并发症。结论改良肛裂切口扩创在陈旧性肛裂治疗中疗效确切，拥有更高的治愈率，值得临床推广应用。
목적：탐토개량항렬절구확창술재진구성항렬치료중적작용。방법장2009년1월～2012년12월광동성하원시인민의원94례진구성항렬I기급I I기환자균분위대조조여관찰조（n=47）。대조조채용상규항렬측위내괄약기절단수술진행수술，관찰조채용개량항렬절개확창술진행수술，술후균진행약물보조치료，관찰2조환자적분기치유정황、동통비교、창면유합시간급술후항문공능。결과관찰조치유솔위88.7%，현저고우대조조적71.7%（χ2=4.810，P=0.028）；관찰조화대조조술후동통평분분별위(4.67±2.64 vs 5.09±2.79)、창면유합시간（15.3±2.09）d vs (16.8±2.34)d，상비교차이무통계학의의；술후1년수방균미발현항문불완전성실금이급항문협착등불량병발증。결론개량항렬절구확창재진구성항렬치료중료효학절，옹유경고적치유솔，치득림상추엄응용。
Objective To analysis efficacy of the improved anal incision debridement in chronic anal fissure. Methods 94 cases of chronic anal fissure II and III patients with were divided into control group and observation group,47 cases in each group,the control group were used conventional lateral internal anal sphincter amputation surgery,and the observation group were used improved anal incision debridement,the drug were used after Postoperative,compared Stage clinical response, relatively pain,wound healing time and postoperative anal function.Results The cure rate (88.7%)in observation group was significantly higher than the control group(71.7%,χ2=4.810,P=0.028),it has no significantly in postoperative pain(4.67±2.64 vs 5.09±2.79), wound healing (15.3±2.09)d vs (16.8±2.34)d between observation group and control group, the anus and anal incontinence incomplete stenosis and other adverse complications were not found in 1 year follow-up. Conclusion Improved anal incision debridement in chronic anal fissure was effective,it has a higher cure rate,and worthy of clinical application.