标题：改良纵切横缝术治疗慢性肛裂的临床研究

      作者：王兆春，卢艳君，曾碧娟
    （深圳市松岗人民医院肛肠外科，广东 深圳 518105）

      卷次： 2013年24卷5期

      【摘要】 目的 观察改良纵切横缝术治疗慢性肛裂的临床效果。方法 将50例慢性肛裂患者随机分成两
组，观察组(25例)采用改良纵切横缝术，对照组(25例)采用开放式内括约肌切断术。比较两组患者的术后疼痛情
况、愈合时间、疗效及并发症等。结果 观察组患者术后疼痛及第一次换药疼痛程度均明显轻于对照组，切口愈合
时间明显缩短（P<0.05）；两组患者均获得痊愈，切口感染并发症发生率差异无统计学意义（P>0.05），无严重并发症
及复发病例。结论 改良纵切横缝术治疗慢性肛裂的临床疗效在术后疼痛、切口愈合时间方面具有明显优势。

      【关键词】 肛裂；改良纵切横缝术；内括约肌切断术

      【中图分类号】 R657.14 【文献标识码】 A 【文章编号】 1003—6350（2013）05—0673—02


Clinical efficacy of modified longitudinally cut transverse suture operation in the treatment of chronic anal
fissure.
WANG Zhao-chun, LU Yan-jun, ZENG Bi-juan. Department of Anorectal Surgery, Shenzhen Songgang People's
Hospital, Shenzhen 518105, Guangdong, CHINA

【Abstract】 Objective To study the clinical effect of modified longitudinally cut transverse suture operation
in the treatment of chronic anal fissure. Methods Fifty patients with chronic anal fissure were divided into two
groups randomly. The control group (n=25) received routine longitudinally cut transverse suture operation, and the ob-
servation group (n=25) applied with modified longitudinally cut transverse suture operation. The two groups were
compared in postoperative pain, time of wound healing, clinical efficacy and complications. Results The degree of
postoperative pain and the first dressing change pain in the observation group was significantly lighter than those in the
control group, and the time of wound healing in the observation group was significantly shorter (P<0.05). Patients in
both groups were cured, and the incidence of incision infection showed no statistically significant difference (P>0.05).
There were no serious complications and recurrence occurred in the two groups. Conclusion For treating chronic
anal fissure, modified longitudinally cut transverse suture operation is advantageous in postoperative pain and time of
wound healing, which is worthy of promotion.