MacDonald A, Smith A, McNeill A D, Finlay I G
Division of Surgery, Stirling Royal Infirmary, UK.
Br J Surg. 1992 Dec;79(12):1381-2. doi: 10.1002/bjs.1800791248.
A group of 100 consecutive patients undergoing manual dilatation of the anus between 1980 and 1983 were reviewed retrospectively by examining the clinical presentation, diagnosis, treatment and outcome. Anal fissure was diagnosed in 46 patients, 22 had either first- or second-degree haemorrhoids, and stenosis of the anal canal was identified in seven. Manual dilatation of the anus was performed on 25 patients in the absence of a diagnosis. Dilatation failed to treat 26 anal fissures successfully. Where it was employed alone in ten cases of haemorrhoids and seven of anal stenosis, manual dilatation failed to cure seven and five patients respectively. Of the patients with no diagnosis, 23 were relieved of their symptoms following dilatation. Episodes of incontinence occurred in 27 patients, 21 of whom were female. There should be a reduced role for manual anal dilatation in the treatment of common anorectal disorders.
对1980年至1983年间连续接受肛门手法扩张的100例患者进行回顾性研究，通过检查临床表现、诊断、治疗及结果进行分析。46例患者诊断为肛裂，22例患有一度或二度痔疮，7例发现肛管狭窄。25例患者在未明确诊断的情况下接受了肛门手法扩张。扩张未能成功治愈26例肛裂。在10例痔疮和7例肛管狭窄患者中单独采用扩张治疗时，分别有7例和5例未治愈。在未明确诊断的患者中，23例在扩张后症状缓解。27例患者出现失禁情况，其中21例为女性。肛门手法扩张在常见肛肠疾病治疗中的作用应有所降低。
