论文部分内容阅读
肛门裂是一种常见病,目前对顽固性陈旧性肛门裂的治疗方法较多,有肛门裂切除术、肛门扩张术、切除缝合术、植皮术、挂线疗法、局部封闭术等等,均收到不同程度的效果,但并不理想。笔者为了寻找加速后位创口愈合,缩短疗程,减少患者痛苦,从1964年起在门诊改用肛门外侧切术治疗肛门裂,均取得满意的疗效。一般术后3～5天即可治愈。现将手术方法介绍如下: (一)手术适应症顽固性陈旧性肛门裂伴有栉膜带病者。 (二)术前准备术前解净大便,清洁肛门周围皮肤,并作普鲁卡因皮试。 (三)手术步骤取俯卧位,用宽胶布拉开臀部,充分暴露肛门,用米他芬酊消毒皮肤,铺消毒洞巾,在局麻下施行手术。再用米他芬酊消毒肠
Anal fissure is a common disease, the current treatment of refractory old anal fissure more, there are anal fissure resection, anus dilation, resection and suture, skin grafting, hanging line therapy, partial occlusion and so on, are Received different levels of effect, but not ideal. In order to find out how to accelerate healing of post-wound healing, shorten the course of treatment and reduce the suffering of patients, we began to use anal lateral resection to treat anal fissure in clinic from 1964, and achieved satisfactory results. Usually 3 to 5 days after surgery can be cured. Now the surgical methods are described below: (A) indications of intractable refractory old anal fissure associated with amyloplasty disease. (B) Preoperative preparation Preoperative cleansing of the stool, clean the skin around the anus, and for procaine skin test. (C) surgical procedures Take the prone position, wide open tape to open the buttocks, fully exposed the anus, with mitafen tincture disinfect the skin, shop disinfection towel, under local anesthesia surgery. Then mitafen tincture disinfection intestinal