Nakrani Hetal L, Dudhamal Tukaram Sambhaji
JS Ayurved Mahavidyalaya and PD Patel Ayurved Hospital, Nadiad, Gujarat, India.
Department of Shalya Tantra, I.P.G.T. and R.A., Gujarat Ayurved University, Jamnagar, Gujarat, India.
Ayu. 2019 Jul-Sep;40(3):164-170. doi: 10.4103/ayu.AYU_144_18. Epub 2020 Aug 8.
resembles fissure‑in‑ano which is one of the common painful disease among the anorectal disorders. which is a para‑surgical procedure is effective in the management of .
To compare the efficacy of and open lateral internal sphincterotomy (OLIS) in the management of (chronic fissure‑in‑ano).
Total 30 patients having signs and symptoms of (chronic fissure‑in‑ano) were selected and randomly divided into two groups. In Group A ( = 15), ligation after anal stretching was carried out while in Group B ( = 15), OLIS with excision of skin tag was carried out under local anesthesia or spinal anesthesia. Relief in postoperative symptoms and complications if any was recorded for 4 weeks and follow‑up was done for the period of 1 month.
In both the groups, significant results were obtained, but the difference among groups was statistically insignificant. Duration required for relief in postoperative pain, bleeding, swelling, and wound healing was found to be more in Group A () than Group B (OLIS).
OLIS provided better results compared to ligation in the management of (chronic fissure‑in‑ano).
类似于肛裂，肛裂是肛肠疾病中常见的疼痛性疾病之一。这是一种辅助手术方法，在……的治疗中有效。
比较……与开放性外侧内括约肌切开术（OLIS）在治疗……（慢性肛裂）中的疗效。
选取30例有……（慢性肛裂）体征和症状的患者，随机分为两组。A组（n = 15）采用肛门扩张后……结扎术，B组（n = 15）在局部麻醉或脊髓麻醉下进行OLIS并切除皮赘。记录术后4周的症状缓解情况及有无并发症，并进行1个月的随访。
两组均取得显著效果，但组间差异无统计学意义。发现A组（……）术后疼痛、出血、肿胀缓解及伤口愈合所需时间比B组（OLIS）更长。
在治疗……（慢性肛裂）方面，与……结扎术相比，OLIS效果更佳。
