肛裂切除术与纵切横缝术的对比研究

帅文慧

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（P>0.05）。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（P<0.05）。观察组患者疼痛感知高于对照组（P<0.05）。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，P<0.05）。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 Jian Central Peoples Hospital of Jiangxi Province， Jian 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， P<0.05]. The pain perception in the observation group was higher than that in the control group the（P<0.05）. 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（P<0.05）. 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 necessary to choose the operative method according to the patients actual condition.

KEY WORDS anal fissure； fissure excision； longitudinal transverse suture

肛裂是臨床发病率极高的外科疾病，多因患者在排便时相对困难，而使肛管皮肤开裂，随着病程延长，病情发展也越加严重[1]。肛裂的主要症状为出血、疼痛、排便困难、尿滞留等[2]。这些症状虽不会对患者的生命造成直接威胁，但长期存在，必然会影响患者的生活质量、正常生活与工作[3]。肛裂的常规治疗以手术为主，其中肛裂切除术和纵横缝合术应用最为频繁[4]。本文比较肛裂切除术和纵横缝合术治疗肛裂患者的疗效。

1 资料与方法

1.1 一般资料

选取2016年1月至2017年1月吉安市中心人民医院肛肠科收治的肛裂患者96例，分为对照组和观察组各48例。对照组中男21例，女27例，年龄22～45岁，平均（27.54±4.39）岁，病程7～13个月，平均（11.27±2.34）个月；观察组中男26例，女22例，年龄23～47岁，平均（27.34±4.38）岁，病程7～14个月，平均（11.28±2.54）个月。两组患者一般资料比较差异无统计学意义（P>0.05）。endprint

1.2 方法

两组患者在手术前均先进行常规检查。对照组采用肛裂切除术治疗，用纵向切口方式，从患者肛门齿状线至肛外缘1 cm处，顺肛裂中央进行。需要……