LATERAL SPHINCTEROTOMY COMPARED WITH ANAL ADVANCEMENT FLAP FOR CHRONIC ANAL-FISSURE

被引：78

作者：

LEONG, AFPK ^{[1
]}

SEOWCHOEN, F ^{[1
]}

机构：

[1] SINGAPORE GEN HOSP,DEPT COLORECTAL SURG,SINGAPORE 0316,SINGAPORE

来源：

DISEASES OF THE COLON & RECTUM | 1995年 / 38卷 / 01期

关键词：

FISSURE-IN-ANO;

D O I：

10.1007/BF02053862

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

PURPOSE: This study was designed to assess differences between lateral internal anal sphincterotomy and anal advancement flap for chronic anal fissure. METHODS: Forty patients with chronic anal fissure were prospectively studied. Patients randomized to the sphincterotomy group (n = 20; median age, 34 (range, 16-61) years) underwent lateral internal anal sphincterotomy. Patients randomized to the flap group (n = 20; median age, 32 (range, 20-44) pears) had an anal advancement flap. RESULTS: All fissures in the sphincterotomy group healed following surgery compared with three patients that failed to heal in the flap group (P = 0.12). No patient in either group was incontinent to any degree following surgery. Patient satisfaction with surgery was similar in both groups. CONCLUSION: Anal advancement flap is an alternative to lateral sphincterotomy for chronic anal fissure.

引用

页码：69 / 71

页数：3

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