肛裂的治疗必須着重破坏其恶性循环,即解除疼痛和括約肌的痙攣,此二者是互为依存的。自1947年,苏联A.M.Aminev教授推荐应用奴夫卡因酒精封閉治疗肛裂。作者认为由于酒精对神經組織的影响,解除了疼痛和括約肌的痉攣,增进了組織的营养,兴奋了再生过程,因此收到应有的效果。 10—96％酒精可以引起神經纤維形态上明显的迟行性变化,因此该法为一完美的化学“神經切断术”。治法:患者取侧臥位或膝肘位,充分暴露肛門,以5％碘酊消毒后取空針用細針头于距肛裂外端0.5—0.7厘米处刺入,注入1—2％奴夫卡因10毫升,浸潤于肛門皮下組織和部分括约肌內。針头不必取出,繼而将70—96％酒精1毫升注于裂損下0.8—1厘米深处。封閉后两周內每日灌腸排便。作者推荐,便后及唾前应行热坐浴(用淡过錳酸鉀液),营养宜合理, The treatment of anal fissure must focus on the destruction of its vicious circle, that is, relieve pain and sphincter spasm, the two are interdependent. Since 1947, Professor A.M.Aminev of the Soviet Union recommended the use of Nuvucamide alcohol for the treatment of anal fissure. The authors believe that due to alcohol on nerve tissue, relieve pain and sphincter spasm, improve tissue nutrition, excite the regeneration process, so receive the desired effect. 10-96% alcohol can cause obvious delayed morphological changes of nerve fibers, so the law is a perfect chemical “nerve transection.” Governing Law: Patients with lateral or knee elbow, full exposure of the anus, with 5% iodine disinfection and take empty needles with fine needles at the end of the anal fissure 0.5-0.7 cm at the puncture, into the 1-2% slave 10 ml of foca, infiltrated in the subcutaneous tissue of the anus and part of the sphincter. Needles do not have to be removed, followed by 70-96% alcohol 1 ml note cracked 0.8-1 cm depth. Two days after the closure of the daily enema defecation. The author recommends, after the spit and saliva should be hot bath (with potassium permanganate solution), nutrition should be reasonable,