CONSERVATIVE AND SURGICAL-TREATMENT IN ACUTE AND CHRONIC ANAL-FISSURE - A STUDY ON 308 PATIENTS

被引：8

作者：

FREZZA, EE

SANDEI, F

LEONI, G

BIRAL, M

机构：

[1] Istituto di Patologia Chirurgica 2, Universitá di Padova

[2] Istituto di Clinica Chirurgica 1, Universitá di Padova

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1992年 / 7卷 / 04期

关键词：

D O I：

10.1007/BF00341218

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The aetiology of anal fissure is not fully understood - why some heal spontaneously and others become chronic remains a mystery. In this study we compared surgical and conservative therapy and investigated which surgical procedure is most useful in the treatment of fissure. There were investigated 308 patients, 157 with acute fissure and 151 with chronic fissure. Healing was achieved in 45 +/- 15 days and in 40 +/- 10 days in acute fissures treated conservatively and surgically, respectively. 40 +/- 15 days and 30 +/- 5 days were required to achieve healing in chronic fissure by conservative and surgical therapy, respectively. Manometric tests showed a decrease in resting pressure and maximum voluntary contraction pressure at one month, and an increase towards the pre-operative level at 4 months for both parameters. There were no recurrences at 5 years in 100 patients (50 males and 50 females).

引用

页码：188 / 191

页数：4

共 25 条

[11]

Barth X., Lombard-Platet R., Anal Fissure. Diagnosis, principles of treatment, Rev Prat, 40, pp. 851-853, (1990)

[12]

McNamara M.J., Percy J.P., Fielding I.R., A manometric study of anal fissure treated by subcutaneous lateral internal sphincterotomy, Ann Surg, 211, pp. 235-238, (1990)

[13]

Cerdan F.J., Ruiz de Leon A., Azpiroz F., Martin J., Balibrea J.L., Anal sphincter pressure in fissure-in-ano before and after lateral internal sphincterotomy, Diseases of the Colon & Rectum, 25, pp. 198-201, (1982)

[14]

Hsu T.C., MacKeigan J.M., Surgical treatment of chronic anal fissure: a retrospective study of 1753 cases, Dis Col Rect 1984, 27, pp. 475-478, (1984)

[15]

Brodie B.C., Praeter natural contraction of the sphincter ani, London Med Gaz, 16, pp. 26-31, (1835)

[16]

Recamier J.C.A., Extensive massage et percussion cadenc dans le traitement des contractures musculaires, Rev Md Fran 1983, 1, pp. 74-89, (1983)

[17]

Case J., Chronic anal fissure. A new method of treatment by anoplasty, Dis Col Rect, 34, pp. 198-199, (1991)

[18]

Jensen S.L., Lund F., Nielsen O.V., Tange G., Lateral subcutaneous sphincterotomy versus anal dilatation in the treatment of fissure in ano in outpatients: a prospective randomised study, Brit Med J, 289, pp. 528-530, (1984)

[19]

Law P.J., Bartram C.I., Anal endosonography technique and normal anatomy, Gastrointest Radiol, 14, pp. 349-353, (1989)

[20]

Millar D.M., Subcutaneous lateral internal anal sphincterotomy for anal fissure, Brit J Surg, 58, pp. 737-739, (1971)

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