小针刀内括约肌切断术治疗陈旧性肛裂82例

目的采用小针刀内括约肌切断术观察陈旧性肛裂的治疗效果。方法陈旧性肛裂82例,采用眼科虹膜小针刀内括约肌切断术,配合术后中药坐浴,甲硝唑及生肌油纱条换药。结果82例均1次治愈,疗程5~8 d,平均1周,未发现术后并发症及后遗症,随访1年均无复发。结论小针刀与其他内括约肌切断术相比,具有操作简便、治疗彻底、创伤小、治愈快、无并发症等优点。

Internal sphincterotomy using small needle scalpel for treatment of 82 cases of old anal cleft

Objective To observe effects of internal sphincterotomy using small needle scalpel for treatment of old anal cleft.Methods Eighty-two patients with old anal cleft were performed with internal sphincterotomy using ophthalmological iri small needle scalpel and combination of traditional Chinese medicine demibain and change of dressing of arilin and promoting granulation oil gauze.Results Eighty-two cases were cured once and course of treatment was 5 ～8 days(mean 7 days),none post-operative complications and resid occurred and no recurrence occurred after one-year follow up.Conclusion Compared with other internal sphincterotomy,small needle scalpel has advantages including convenient operation,thorough treatment,little trauma,quick curing and no complications.