| 涂艳琴,余绪超,丁逸矾,章钰川,肖慧荣.微型切口内括约肌松解术联合龙珠软膏治疗慢性肛裂临床疗效观察[J].实用中西医结合临床,2023,23(9): |
| 微型切口内括约肌松解术联合龙珠软膏治疗慢性肛裂临床疗效观察 |
| 微型切口内括约肌松解术联合龙珠软膏治疗慢性肛裂临床疗效观察 |
| 投稿时间：2023-03-23 修订日期：2023-04-05 |
| DOI： |
| 中文关键词: ：慢性肛裂 微型切口内括约肌松解术 开放式内括约肌切断术 龙珠软膏 创面愈合时间 |
| 英文关键词: |
| 基金项目:2023年度江西省卫生健康委科技计划项目（SKJP220227451） |
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| 中文摘要: |
| 摘要：目的：探讨微型切口内括约肌松解术联合龙珠软膏治疗慢性肛裂的安全性及可行性。方法：选取在江西中医药大学附属医院肛肠科2020年1月-2022年1月100例患者。以随机数字表法分为观察组50例(微型切口内括约肌松解术联合龙珠软膏治疗)与对照组50例(开放式内括约肌切断术联合龙珠软膏治疗)，观察比较两组术中出血量、手术用时、术后首次排便出血、术前及术后1d、7d、14d视觉模拟评分（VAS，Visual analogue scale）、术后24h排尿情况、创面愈合时间、术后创面感染情况、术后肛门外观评分、术后肛门失禁、复发率。结果：治疗后观察组术中出血、手术用时及术后首次排便出血、创面愈合时间、术后肛门外观评分显著低于对照组，差异有统计学意义（P<0.05）；治疗前组间VAS评分比较，差异无统计学意义（P>0.05）；治疗后研究组VAS评分低于对照组，差异有统计学意义（P<0.05）。观察组临床疗效与对照组相同，差异无统计学意义（P＞0.05）；术后24h排尿情况差异无统计学意义（P＞0.05）。结论：微型切口内括约肌松解术联合龙珠软膏治疗慢性肛裂，术后效果显著，明显改善术后疼痛感，缩短刀口恢复时间，安全性较高，且能更好的保护肛门外观及功能，值得广泛运用于临床上。 |
| 英文摘要: |
| To investigate the safety and feasibility of internal sphincterolysis microincision combined with Dragon ball ointment in the treatment of chronic anal fissure. Methods: A total of 100 patients were selected from the anorectal Department of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2020 to January 2022. 50 cases were divided into observation group (internal sphincterotomy combined with Dragon ball ointment) and control group (open internal sphincterotomy combined with dragon ball ointment) by random number table method. The amount of intraoperative blood loss, operation time, bleeding after the first defecation, visual analog scale (VAS，Visual analogue scale) before and after the operation at 1 day, 7 day and 14 day, postoperative urination at 24 hours after the operation, wound healing time, postoperative wound infection, postoperative anal appearance score, postoperative anal incontinence and recurrence rate of the two groups were observed and compared. Results: After treatment, intraoperative bleeding, operation time, first postoperative defecation bleeding, wound healing time and postoperative anal appearance score in observation group were significantly lower than those in control group, with statistical significance (P＜0.05). VAS score of the study group was lower than that of the control group after treatment, and the difference was statistically significant (P＜0.05). There was no significant difference in urinary status 24h after operation (P>0.05). Conclusion: Micro-incision internal sphincterolysis combined with Dragon ball ointment in the treatment of chronic anal fissure has significant postoperative effects, which can significantly improve postoperative pain, shorten the incision recovery time, have high safety, and can better protect the appearance and function of the anus, and is worth widely used in clinical practice. |
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