肛裂切除术与纵切横缝术对比研究.docVIP

肛裂切除术与纵切横缝术对比研究 　　摘 要 目的：探讨肛裂切除术与纵切横缝术治疗肛裂患者的临床效果。方法：选取2016年1月至2017年1月收治的肛裂患者96例，分为对照组和观察组各48例。对照组采用肛裂切除术治疗，观察组采用纵切横缝术治疗。比较两组疗效和并发症发生情况。结果：观察组治疗总有效率与对照组比较差异无统计学意义（P0.05）。观察组创口愈合时间为（10.34±4.32）d，明显低于对照组的（14.58±3.29）d（P0.05）。观察组患者疼痛感知高于对照组（P0.05）。观察组术后并发症发生率为18.75%（9/48），高于对照组的6.25%（3/48，P0.05）。结论：肛裂切除术与纵切横缝术的治疗效果相似，但在术后反应上各有优势。在临床应用中，需根据患者的实际状况选择术式。 　　关键词 肛裂；肛裂切除术；纵切横缝术 　　中图分类号：R657.1 文献标志码：A 文章编号：1006-1533（2017）24-0026-02 　　Comparison of anal fissure excision and longitudinal incision and transverse suture in treatment of anal fissure 　　SHUAI Wenhui 　　（Anorectal Department of Ji’an Central People’s Hospital of Jiangxi Province， Ji’an 343000， Jiangxi Province， China） 　　ABSTRACT Objective： To investigate the effect of excision of anal fissure and longitudinal incision and transverse suture in treatment anal fissure. Methods： Ninety-six patients with anal fissure treated in hospital from January 2016 to January 2017 were selected and divided into control group and observation group with 48 cases in each group. The patients in the control group received anal fissure resection， while those in the observation group received longitudinal incision and transverse suture. The therapeutic effects and complications were compared between two groups. Results： There was no statistical difference of total effective rate between two groups . The wound healing time in the observation group was shorter than that in the control group[（ 10.34±4.32） d vs（ 14.58±3.29） d， P0.05]. The pain perception in the observation group was higher than that in the control group the（P0.05）. the postoperative complication was 18.75%（ 9/48） in the observation group， while it was 6.25%（ 3/48） in the control group. There was statistical difference between two groups（P0.05）. Conclusion： The effect of anal fissure excision and longitudinal incision and transverse suture in the treatment of anal fissure is same， but each has its advantage in the postoperative reaction. In clinical practice， it is neces