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我院门诊外科自1989年1月～1991年9月,采用肛门内括约肌切断术治疗慢性肛裂220例,效果满意。临床资料一、一般情况本组220例均为门诊病例。男132例,女88例。年龄21～63岁。病史0.5～18年。肛裂部位:后方正中占88%,前方正中占12%。二、手术方法排空大便,洗净会阴部,取侧卧双腿屈曲位,用0.1%新洁尔灭消毒肛周皮肤。在局麻下,距肛缘1cm侧方(左或右)作一放射状切口,长约1cm,深达皮下。术者食指深入肛门引导,右手持小弯钳,沿切口朝肛管方向,深达肛管皮下,
Outpatient surgery in our hospital from January 1989 to September 1991, the use of anal sphincterotomy 220 cases of chronic anal fissure, the results are satisfactory. Clinical data First, the general situation The group of 220 cases are outpatient cases. 132 males and 88 females. Age 21 ~ 63 years old. A history of 0.5 to 18 years. Anal fissure area: 88% of the middle back, front accounted for 12%. Second, the surgical method to empty the stool, wash the perineum, take lateral leg flexion, with 0.1% benzalkonium disinfection perianal skin. Under local anesthesia, from the anal edge 1cm side (left or right) for a radial incision, about 1cm, deep up to the skin. The surgeon index finger deep into the anus, the right hand holding a small bending forceps, along the incision toward the anal canal, deep anal skin,