Pfeifer J, Berger A, Uranüs S
Universitätsklinik für Chirurgie Graz.
Chirurg. 1994 Jul;65(7):630-3.
78 patients with chronic anal fissures have been mainly operated on by lateral internal sphincterotomy (LATS). Continence have been evaluated by questionnaire at least 9 months postoperatively. Patient without any additional proctological operation had minor disturbances of continence in 17%. Patient with additional operations had disturbances of continence in 30%. Especially the subgroup of patients with LATS and haemorrhoidectomy had bad results. In this group only 45% were fully continent.
78例慢性肛裂患者主要接受了侧方内括约肌切开术(LATS)。术后至少9个月通过问卷调查对控便能力进行评估。未进行任何其他直肠手术的患者中有17%存在轻度控便障碍。接受了其他手术的患者中有30%存在控便障碍。特别是接受了LATS和痔切除术的患者亚组效果不佳。在该组中只有45%的患者控便功能完全正常。