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ID:59134178
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页数:5页
时间:2020-09-12
《肛裂次侧切术在陈旧肛裂中的运用总结.doc》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、次侧方内括约肌切开加双缘结扎术治疗Ⅲ期肛裂150例临床观察肖秋平黄卫平1林金荣李庚(福建中医药大学附属厦门中医院肛肠科)摘要:目的观察次侧方内括约肌切开加双缘结扎术治疗Ⅲ期肛裂临床疗效及其对肛门功能的影响。方法治疗组选取Ⅲ期肛裂患者150例,均采用次侧方内括约肌切开加双缘结扎术治疗,观察创口愈合时间、随访6月的复发率及测定手术前后肛门直肠压力,并与健康对照组比较。结果所有患者均痊愈出院,创口平均愈合时间(16+2.87)d,随访6个月无复发病例;术前肛管静息压较正常人显著升高(P<0.05),肛管舒张压较前显著降低(P<0.05),肛管最大收缩压及肛管自主收缩持续时间与正
2、常人比较无明显差异(P>0.05);术后肛管静息压较术前明显降低(P<0.05),肛管舒张压较前明显升高(P<0.05),肛管最大收缩压及肛管自主收缩持续时间与术前比较无明显差异(P>0.05);术后肛管静息压、肛管舒张压、肛管最大收缩压及肛管自主收缩持续时间与正常人比较无明显差异(P>0.05)。结论次侧方内括约肌切开加双缘结扎术治疗Ⅲ期肛裂疗效显著,能有效地解除内括约肌痉挛,改善肛裂溃疡面的供血不足,促进肛裂的愈合。关键词:肛裂;次侧切术;双缘结扎术;肛管直肠压力测定ClinicalobservationofLateralSub-incisionofInternalS
3、phincterPlusLigationofBothBordersinTheTreatmentof150patientswithStageⅢAnalFissureXIAOQiu-ping,HuangWei-ping,LinJin-rong,LiGengXiamenHospitalofT.C.M,AffiliatedhospitaltoFujianuniversityoftraditionalchinesemedicineAbstract:ObjectiveToobservetheefficacyofLateralSub-incisionofInternalSphincte
4、rPlusLigationofBothBordersinthetreatmentofStageⅢAnalFissure.Methods150patientswithStageⅢAnalFissurewereincludedintotreatmentgroup,Theyweretreatedwithlateralsub-incisionofinternalsphincterplusligationofbothborders.Observethewoundhealingtimeandtherecurrencerateafter6monthsoffollowup;Measure
5、dtheanorectalpressurebeforeandafteroperation,andcomparedwiththecontrolgroupofhealthvolunteers.ResultsAllthepatientswerecured;Theaveragewoundhealingtimewas(16+2.87)d,andnorecurrenceafterfollowedupfor6months;Comparedwithnormalcases,Preoperativeanalrestingpressuresafter6monthsoffollowup(P<0.
6、05),andAnalrestingpressurereducedsignificantly(P<0.05),andtherewasnoobviousdifferences(P>0.05)aboutpreoperativemaximalanalcontractionpressureandanalvoluntarycontractionduration;Postoperativeanalrestingpressuredecreasedobviouslycomparedwithpreoperation(P<0.05),andanaldiastolicpressureincre
7、asedsignificantly(P<0.05),therewasnoobviousdifferenceaboutmaximalanalcontractionpressureandanalvoluntarycontractiondurationbfforeandafteroperation(P>0.05);Therewasnoobviousdifferences(P>0.05)aboutpostoperativeanalrestingpressure,anadiastolicpressure,maximalanalcontr
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