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[慢性肛裂的手术治疗——额外的直肠手术会损害控便能力吗?]

[Surgical therapy of chronic anal fissure--do additional proctologic operations impair continence?].

作者信息

Pfeifer J, Berger A, Uranüs S

机构信息

Universitätsklinik für Chirurgie Graz.

出版信息

Chirurg. 1994 Jul;65(7):630-3.

PMID:7924599
Abstract

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.

摘要

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。

相似文献

1
[Surgical therapy of chronic anal fissure--do additional proctologic operations impair continence?].[慢性肛裂的手术治疗——额外的直肠手术会损害控便能力吗?]
Chirurg. 1994 Jul;65(7):630-3.
2
[Surgical procedure in combined proctologic diseases].
Vestn Khir Im I I Grek. 1978 Oct;121(10):84-7.
3
Quality of life assessment in patients with chronic anal fissure after lateral internal sphincterotomy.内括约肌侧切术后慢性肛裂患者的生活质量评估
Br J Surg. 2005 Jul;92(7):881-5. doi: 10.1002/bjs.4980.
4
Incontinence after lateral internal sphincterotomy: a prospective study and quality of life assessment.内括约肌侧切术后尿失禁:一项前瞻性研究及生活质量评估
Dis Colon Rectum. 2004 Jan;47(1):35-8. doi: 10.1007/s10350-003-0002-0. Epub 2004 Jan 14.
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Results of lateral internal sphincterotomy for chronic anal fissure with particular reference to quality of life.慢性肛裂侧方内括约肌切开术的结果,特别提及生活质量
Dis Colon Rectum. 2006 Jul;49(7):1045-51. doi: 10.1007/s10350-006-0527-0.
6
[Late results after individualized lateral internal sphincterotomy].
Helv Chir Acta. 1993 Mar;59(4):603-7.
7
Lateral internal sphincterotomy is superior to topical nitroglycerin for healing chronic anal fissure and does not compromise long-term fecal continence: six-year follow-up of a multicenter, randomized, controlled trial.对于慢性肛裂的愈合,侧方内括约肌切开术优于局部应用硝酸甘油,且不影响长期的大便失禁:一项多中心、随机、对照试验的六年随访结果
Dis Colon Rectum. 2007 Apr;50(4):442-8. doi: 10.1007/s10350-006-0844-3.
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Lateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience.外侧皮下内括约肌切开术治疗慢性肛裂:我们的经验
J Gastrointestin Liver Dis. 2006 Jun;15(2):143-7.
9
[Treatment of typical, combined proctological diseases].
Zh Eksp Klin Med. 1978;18(6):53-8.
10
The rectum and anal canal.直肠和肛管。
Clin Gastroenterol. 1979 May;8(2):443-54.

引用本文的文献

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Management options for chronic anal fissure: a systematic review of randomised controlled trials.慢性肛裂的治疗选择:随机对照试验的系统评价。
Int J Colorectal Dis. 2020 Oct;35(10):1807-1815. doi: 10.1007/s00384-020-03699-4. Epub 2020 Jul 25.
2
Combined approach in the treatment of chronic anal fissures.慢性肛裂治疗的联合方法
Updates Surg. 2015 Mar;67(1):83-9. doi: 10.1007/s13304-015-0290-7. Epub 2015 Apr 21.
3
Comparative study of conventional lateral internal sphincterotomy, V-Y anoplasty, and tailored lateral internal sphincterotomy with V-Y anoplasty in the treatment of chronic anal fissure.
传统侧方内括约肌切开术、V-Y 成形术与改良侧方内括约肌切开术联合 V-Y 成形术治疗慢性肛裂的对比研究。
J Gastrointest Surg. 2012 Oct;16(10):1955-62. doi: 10.1007/s11605-012-1984-5. Epub 2012 Aug 7.
4
V-Y advancement flap as first-line treatment for all chronic anal fissures.V-Y 推进皮瓣作为所有慢性肛裂的一线治疗方法。
Int J Colorectal Dis. 2010 May;25(5):645-8. doi: 10.1007/s00384-010-0881-1. Epub 2010 Feb 23.
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Continence disorders after anal surgery--a relevant problem?肛门手术后的控便障碍——一个相关问题?
Int J Colorectal Dis. 2008 Nov;23(11):1023-31. doi: 10.1007/s00384-008-0524-y. Epub 2008 Jul 16.
6
Fissurectomy with posterior midline sphincterotomy and anoplasty (FPSA) in the management of chronic anal fissures.后正中括约肌切开及肛门成形术式肛裂切除术(FPSA)治疗慢性肛裂
Surg Today. 1997;27(10):975-8. doi: 10.1007/BF02388152.