改良肛管扩张术治疗肛管狭窄应用探讨——附2 373例报告

  • 摘要: 目的:探讨改良肛管扩张术治疗肛管狭窄的疗效。方法:对2 373例肛管狭窄患者行改良肛管扩张术——肛管外括约肌皮下部分增厚肌筋膜部分切除和松解术,无采用微型小切口,观察患者术后疗效。结果:手术时间30~55 min,中位时间39 min;术程顺利2 340例,术中并发较多出血量33例,给予相应的止血处理后均能顺利完成手术,总出血量1~4 mL,中位数2 mL。随访10~12个月,无1例肛门失禁,再发肛管狭窄8例,经再次手术后治愈,肛门皮肤皲裂4例,采用外涂药膏后均好转。余2361例患者均治治愈,无再发肛门狭窄。结论:改良后肛管扩张术治疗肛管狭窄手术简单、出血较少、并发症发生率低。

     

    Abstract: Objective:To discuss the curative effect of improved anus dilation operation in the treatment of anus stricture. Method: 2 373 cases of anus stricture were cured by improved anus dilation operation, observe the curative effect of the operation. Result:The time of operation is 30~55 min ,meso-time is 39 min;the process of operation were smoothy in 2340 cases,the volume of blood were more in 33 cases,the operation could be finished smoothy after supplying haemostasis,the total volume of blood was 60~130 mL,meso-volume was 70 mL .After 10~12 months of follow-up visit, there’s no copracrasia cases, relapse anus stricture 8 cases,curing after the second operation, Chapped skin of anus 4 cases,curing after unction. Other 2 361 cases all curing.Conclusion: The anus dilation operation was simple, safe with less volume of blood and have low incidence rate of complication.

     

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