Department of Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mail Code L-223A, Portland, OR 97239, USA.
Surg Clin North Am. 2010 Feb;90(1):33-44, Table of Contents. doi: 10.1016/j.suc.2009.09.002.
Anal fissure is a common disorder that is effectively treated and prevented with conservative measures in its acute form, whereas chronic fissures may require medical or surgical therapy. This article discusses the nonoperative and operative management strategies, reviews the current literature on expected outcomes, and provides guidance on dealing with fissures in special situations, such as patients with inflammatory bowel disease or hypotonic sphincters.
肛裂是一种常见疾病，在急性发作时采用保守措施可有效治疗和预防，而慢性肛裂可能需要药物或手术治疗。本文讨论了非手术和手术治疗策略，回顾了目前关于预期结果的文献，并就特殊情况下（如炎症性肠病或低张力括约肌患者）肛裂的处理提供了指导。
