| 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):1-4,14 |
| 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 |
| Clinical Observation of Microincision Internal Sphincter Release Combined with Dragon Ball Ointment in the Treatment of Chronic Anal Fissure |
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| 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: Chronic anal fissure Microincision internal sphincter release Open internal sphincterotomy Dragon%ball ointment Wound healing time |
| 基金项目:江西省卫生健康委科技计划项目(编号:SKJP220227451) |
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| 中文摘要: |
| 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:选取江西中医药大学附属医院肛肠科 2020 年 1 月至 2022 年 1 月收治的慢性肛裂患者 100 例, 按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)。 比较两组 术 中 出 血 量 、手 术 用 时 、术 后 首 次 排 便 出 血 量 ,术 前 及 术 后 1 d 、 7 d 、 14 d 视 觉 模 拟 评 分 ( VAS ),术 后 24 h 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、术后肛门失禁及复发情况。 结果:治疗后观察组术中出血量、手术用时及术后首次排便出血量、创面愈合时间、术后肛门外观评分均显著优于对照组,差异有统计学意义( P<0.05 );治疗后观察组 VAS 评分低于对照组,差异有统计学意义( P<0.05 );两组临 床 疗 效 、术 后 24 h 排 尿 情 况 、并 发症发生率及复发率比较,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,缩短创面恢复时间,安全性较高,且能更好地保护肛门外观及功能。 |
| 英文摘要: |
| Objective: To investigate the safety and feasibility of microincision internal sphincter release 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 Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2020 to January 2022. 50 cases were divided into observation group(microincision internal sphincter release 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 analogue scale(VAS) before and after the operation at 1 day, 7 day and 14 day, postoperative 24-hour urination status, 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 blood loss, operation time, first postoperative defecation bleeding, wound healing time and postoperative anal appearance scores in the observation group were significantly lower than those in the control group, with statistical significances(P＜0.05). VAS score of the observation 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 clinical efficacy, postoperative 24-hour urination status,the incidence of complications and recurrence rate (P＞0.05). Conclusion: Microincision internal sphincter release 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. |
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