中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
23期
34-36
,共3页
后位内括约肌节段式部分切开术%后位内括约肌切开术%有效性%安全性
後位內括約肌節段式部分切開術%後位內括約肌切開術%有效性%安全性
후위내괄약기절단식부분절개술%후위내괄약기절개술%유효성%안전성
Segmental partial posterior internal sphincterotomy%Posterior internal sphincterotomy%Effectiveness%Safety
目的：比较两种不同手术治疗慢性肛裂的有效性及安全性。方法选取2013年4月~2014年6月本院收治的60例慢性肛裂患者作为研究对象，随机分成实验组和对照组，各30例。实验组采用后位内括<肌节段式部分切开术进行治疗，对照组采取后位内括<肌切开术进行治疗，比较两组的治疗效果。结果两组的治疗总有效率比较，差异无统计学意义(P跃0.05)。实验组的手术操作时间、术后愈合时间显著短于对照组，差异有统计学意义(P<0.05)。实验组的术中出血量显著少于对照组，差异有统计学意义(P<0.05)。实验组的并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。结论内括<肌节段式部分切开术具有操作简单、安全、创伤小、并发症少、术后愈合快等优点，值得临床推广应用。
目的：比較兩種不同手術治療慢性肛裂的有效性及安全性。方法選取2013年4月~2014年6月本院收治的60例慢性肛裂患者作為研究對象，隨機分成實驗組和對照組，各30例。實驗組採用後位內括<肌節段式部分切開術進行治療，對照組採取後位內括<肌切開術進行治療，比較兩組的治療效果。結果兩組的治療總有效率比較，差異無統計學意義(P躍0.05)。實驗組的手術操作時間、術後愈閤時間顯著短于對照組，差異有統計學意義(P<0.05)。實驗組的術中齣血量顯著少于對照組，差異有統計學意義(P<0.05)。實驗組的併髮癥髮生率顯著低于對照組，差異有統計學意義(P<0.05)。結論內括<肌節段式部分切開術具有操作簡單、安全、創傷小、併髮癥少、術後愈閤快等優點，值得臨床推廣應用。
목적：비교량충불동수술치료만성항렬적유효성급안전성。방법선취2013년4월~2014년6월본원수치적60례만성항렬환자작위연구대상，수궤분성실험조화대조조，각30례。실험조채용후위내괄<기절단식부분절개술진행치료，대조조채취후위내괄<기절개술진행치료，비교량조적치료효과。결과량조적치료총유효솔비교，차이무통계학의의(P약0.05)。실험조적수술조작시간、술후유합시간현저단우대조조，차이유통계학의의(P<0.05)。실험조적술중출혈량현저소우대조조，차이유통계학의의(P<0.05)。실험조적병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론내괄<기절단식부분절개술구유조작간단、안전、창상소、병발증소、술후유합쾌등우점，치득림상추엄응용。
Objective To compare the effectiveness and safety of two different surgical methods in the treatment of chronic anal fissure. Methods 60 patients with chronic anal fissure in our hospital from April 2013 to June 2014 were selected and randomly divided into the experimental group and the control group,30 cases in each group.The experi-mental group was treated with the segmental partial posterior internal sphincterotomy,the control group was treated with posterior internal sphincterotomy.The therapeutic effect of two groups was compared. Results There was no significant difference of the total therapeutic effective rate in two groups(P>0.05).The operation time and postoperative healing time of the experimental group was shorter than that of the control group,with significant difference (P<0.05).The intraopera-tive amount of bleeding of the experimental group was less than that of the control group,with significant difference (P<0.05).The incidence rate of complication in the experimental group was lower than that in the control group,with signif-icant difference(P<0.05). Conclusion The segmental partial posterior internal sphincterotomy has simple operation,safe, less trauma,less complication,postoperative healing fast and other clinical advantages,it is worthy of clinical promotion and application.
