Hoffmann D C, Goligher J C
Br Med J. 1970 Sep 19;3(5724):673-5. doi: 10.1136/bmj.3.5724.673.
One hundred and three patients with anal fissures have been treated by lateral internal sphincterotomy performed by a subcutaneous myotomy technique, and 99 have been successfully followed up for from 3 to 24 months (mean 11 months). The operation was free from significant complications, apart from slight reactionary bleeding in one case and a perianal abscess in another. The fissure persisted or recurred in three cases, in one of which a further lateral sphincterotomy was performed, with cure. Various minor defects of anal continence were noted in 12 cases. These results have been found to be superior to those obtained previously in the same surgical unit with open posterior internal sphincterotomy and simple sphincter-stretching respectively in the treatment of anal fissure. The most reliable and satisfactory operation at present available for this condition seems, therefore, to be lateral subcutaneous internal sphincterotomy.
103例肛裂患者采用皮下肌切开术行侧方内括约肌切开术进行治疗，其中99例获得成功随访，随访时间为3至24个月（平均11个月）。除1例出现轻微的继发性出血和另1例出现肛周脓肿外，该手术无严重并发症。3例肛裂持续存在或复发，其中1例行再次侧方括约肌切开术，治愈。12例出现各种轻微的肛门失禁缺陷。结果发现，这些结果优于该手术科室之前分别采用开放性后位内括约肌切开术和单纯括约肌扩张术治疗肛裂所取得的结果。因此，目前针对这种病症最可靠、最令人满意的手术似乎是侧方皮下内括约肌切开术。
