Babaev O G, Skobelkin O K, Khodzhanepesov K
Khirurgiia (Mosk). 1990 Jun(6):21-4.
The article analyses the results of treatment of acute and chronic anal fissures with the use of the method of laser photocoagulation in 181 patients, in 87 of them the fissures were combined with other proctological diseases. The essence of the operation is three-fold laser treatment (CO2 laser) of the edges and floor of the fissures. The pathologically changed tissues are evaporated and coagulated in this case with the formation of a coagulation film on the wound surface. Histological examination of bioptic material collected from the zone exposed to the effect of the laser shows complete disappearance of the pathological tissue. The operation is simple and sparing in the treatment of anal tissues, ensures improvement of the immediate results, as well as a decrease of the frequency of a recurrence to 1.4%. The method may be introduced successfully into outpatient surgical practice.
本文分析了181例采用激光光凝法治疗急慢性肛裂患者的结果，其中87例肛裂合并其他直肠疾病。该手术的本质是对肛裂边缘和底部进行三重激光治疗（二氧化碳激光）。在这种情况下，病变组织被蒸发并凝固，伤口表面形成凝固膜。对从受激光作用区域采集的活检材料进行组织学检查，结果显示病理组织完全消失。该手术在治疗肛门组织时操作简单且创伤小，能确保即时疗效的改善，同时将复发率降低至1.4%。该方法可成功应用于门诊手术实践。
