Pérez-Miranda M, Robledo P, Alcalde M, Gómez-Cedenilla A, Maté Jiménez J
Gastroenterology Department, Hospital de la Princesa, Universidad Autónoma de Madrid, Spain.
Rev Esp Enferm Dig. 1996 Apr;88(4):265-72.
We describe a new therapeutic procedure for fissure-in-ano, endoscopic anal dilatation. Anal dilatation is performed with a two-valved anoscope under local anesthesia in an ambulatory setting. We report our results using this technique in 62 patients after a mean follow-up of 19 months (range: 12-24 months). Thirty days after the procedure, 55 patients (93%) were symptom-free, whereas 3 of them (4.8%) failed to improve. After nineteen months, one patient out of 47 in follow-up had a recurrence. No bleeding, discharge or defects of continence, either transient or permanent, were noted. The results of endoscopic anal dilatation are comparable with those of lateral sphincterotomy, can be achieved at a lower complication rate, with only minor and temporary complications, and performed by physicians with no specific surgical training.
我们描述了一种用于肛裂的新治疗方法——内镜下肛门扩张术。肛门扩张术在门诊局部麻醉下使用双瓣肛门镜进行。我们报告了采用该技术治疗62例患者的结果，平均随访19个月（范围：12 - 24个月）。术后30天，55例患者（93%）无症状，其中3例（4.8%）未见改善。19个月后，随访的47例患者中有1例复发。未观察到出血、分泌物或控便功能缺陷，无论是短暂的还是永久性的。内镜下肛门扩张术的结果与侧方括约肌切开术相当，并发症发生率较低，仅伴有轻微和短暂的并发症，且无需特殊手术培训的医生即可实施。
