Objective To analyze and compare the clinical efficacy and advantage between two treatments methods for chronic anal fissure. Methods Divided 96 patients with chronic anal fissure into two groups based on the odd and even numbers of treatment order: 48 patients in study group received sequential anal dilation and microwave treatment, and 48 patients in control group received posterior internal sphincterotomy. The blood loss in operation, wound healing time, wound infection rate, anal infection rate, anal control, postoperative defecation function, anal stenosis rate, and the recurrence rate between the two groups were compared and analyzed. Results Blood loss and wound healing time were less in study group than those in control group (P lt;0.01). Anal control was better in study group than that in control group (P lt;0.05). There were no occurrences of wound infection or anal infection, and the defecation function was improved in both of the two groups. There was no recurrence after one year follow-up in both of the two groups. Anal stenosis rate in study group is lower than that in control group (P lt;0.01). Conclusion The technique of sequential anal dilation and microwave treatment can reduce pain, and is simple, effective, and worthy of promotion.
Citation：
LIU Hongbo ,QIN Zhishan,LAI Yungang,LIU Xiaowu,YANG An. Sequential Anal Dilation and Microwave Treatment of Chronic Anal Fissure. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1279-1281. doi:
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- 1. 国家中医药管理局. 中医病证诊断疗效标准 [S]. 南京: 南京大学出版社， 1994: 54.
- 2. 白玉皆. 快速扩张法治疗肛裂 [J]. 中国肛肠病杂志， 2001; 21(9): 37.
- 3. 翁天然, 许明享. 小针刀松解术治疗肛裂及其机理探讨 [J]. 中国肛肠病杂志, 1999; 9(9): 13-14.
- 4. 张东铭. 肛肠外科解剖生理学 [M]. 西安: 陕西科学技术出版社, 1989: 45.
- 5. 安阿玥. 肛肠病学 [M]. 北京: 人民卫生出版社, 1998: 138.
- 6. 丁义江. 丁氏肛肠病学 [M]. 北京: 人民卫生出版社， 2006: 33-35.
- 7. Schouten WR, Briel JW, Auwerda JJ. Relationship between anal pressure and anodermal blood flow. The vascular pathogenesis of anal fissures [J]. Dis Colon Rectum, 1994; 37(7): 664-669.
- 8. 吕厚山. 结肠与直肠外科学 [M]. 北京: 人民卫生出版社， 2002: 8-9.
- 9. 孟荣贵， 喻德洪. 现代肛肠外科手术图谱 [M]. 郑州: 河南科学技术出版社， 2003: 74-83.
- 10. 梁新成, 丁秀真. 3种术式治疗慢性肛裂的疗效比较 [J]. 中国肛肠病杂志, 2005; 25(9): 22-24.
- 11. 梁林江. 改进扩创术治疗陈旧性肛裂560例临床观察 [J]. 中国肛肠病杂志, 1999; 19(9): 11-12.
- 12. 杜红. 内括约肌部分切除治疗陈旧性肛裂310例临床观察 [J]. 大肠肛门病外科杂志, 2003; 9(4): 266.
- 13. 贺执茂. 肛裂的治疗研究评述 [J]. 中国肛肠病杂志, 1995; 15(5): 33-35.
- 14. Metcalf AM. Anal fissure [J]. Surg Clin North Am, 2002; 82(6): 1291-1297.
- 15. McCallion K, Gardiner KR. Progress in the understanding and treatment of chronic anal fissure [J]. Postgrad Med J, 2001; 77(914): 753-758.
- 16. 张东铭. 盆底与肛门病学 [M]. 贵阳: 贵州科技出版社, 2000: 424-429.
- 17. 周祖文. 慢性肛裂的药物及手术治疗近况 [J]. 疑难病杂志， 2003; 2(3): 183-185.
