肛门直肠良性狭窄外科治疗体会

目的：探讨肛门直肠良性狭窄病因和有效的外科治疗途径。方法：轻度肛门直肠狭窄，采用扩肛治疗；狭窄段长度超过1cm者，据狭窄程度分别采用狭窄部纵切横缝、Y－V皮瓣插入、直肠内环状狭窄3点瘢痕切除等方式。结果：33例患者经扩肛和和各种手术治疗，除1例术后证实为直肠腺癌改行Mile根治术2年内死亡外，其他患者按罗享卿分级：属I级29例（87.88％），II级3例（9.09％），总治愈率96.97％。结论：扩肛是预防和治疗肛门良性狭窄不可缺少的方法，而外科手术才是治愈该病的唯一途径。

Surgical treatment for benign anorectal stenosis

Objective:To probe in the causes of benign anorectal stenosis andthe effective surgical treatment.Methods:Patients with slight anorectal stenosis were treated by dilatation of anus.According to the degree of stenosis,patients whose length of stricture segment exceeded one centimeter were treated by longitudinal incision and transversal suture in the segment of stricture,inserting Y-V skin valve,excision of three points scar within annular stricture of retum,and so on.Results:Of 33 patients treated with dilatation of anus and other operations,one died from confirmed recto-adenocarcinoma after he was given Mile's radical cure,29 of the patients,in terms of Luo's gradation,belong to grade Ⅰ(accounting for 87.88%),and the rest grade Ⅱ(9.09%).The total cure rate was 96.97%.Conclusions:Dilatation of anus is an indispensable method to prevent and treat benign anorectal stenosis,whereas surgery is the only way to achieve radical cure.