Wray D, Ijaz S, Lidder S
Department of General and Colorectal Surgery, Lister Hospital, Stevenage SG1 4AB.
Br J Hosp Med (Lond). 2008 Aug;69(8):455-8. doi: 10.12968/hmed.2008.69.8.30742.
Patients often present to general and colorectal clinics with symptoms of anal fissures and can even present acutely to hospital. Conservative remedies have healing rates of up to 85% and have largely replaced surgery as first-line management. This review highlights the cardinal points in the aetiology, pathogenesis and treatment of anal fissures.
患者常因肛裂症状前往普通外科和结直肠科诊所就诊,甚至可能急症入院。保守治疗的治愈率高达85%,在很大程度上已取代手术成为一线治疗方法。本综述重点介绍肛裂的病因、发病机制及治疗要点。