ANAL-FISSURE - CORRELATION BETWEEN SYMPTOMS AND MANOMETRY BEFORE AND AFTER SURGERY

被引：24

作者：

MELANGE, M

COLIN, JF

VANWYMERSCH, T

VANHEUVERZWYN, R

机构：

[1] Centre de Coloproctologie U.C.L., Cliniques Universitaires Saint-Luc, Brussels

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1992年 / 7卷 / 02期

关键词：

D O I：

10.1007/BF00341296

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The study compared symptoms and manometric results in 76 patients (42 men and 34 women; median age: 45 years) before and at long-term follow-up (median time: 54 months) after fissurectomy with posterior midline sphincterotomy for anal fissure. The fissure healed in all cases. Sporadic loss of continence for flatus or for liquid stool occurred in 21 patients (27.6%) and soiling was present in 7 other patients (9.2 %). Preoperative maximum resting anal pressure was significantly greater in the study group compared with 40 control subjects (p < 0.001). Postoperative resting anal pressure fell significantly (p < 0.001) and remained low on long-term assessment. Postoperative maximal squeeze pressure remained unchanged. No correlation could be found between preoperative and postoperative clinical symptoms (including continence) and anorectal manometry.

引用

页码：108 / 111

页数：4

共 21 条

[1]

Hancock B.D., The internal sphincter and anal fissure, Br J Surg, 64, pp. 92-95, (1977)

[2]

Nothman B.S., Schuster M.M., Internal anal sphincter derangement with anal fissures, Gastroenterology, 67, pp. 216-220, (1974)

[3]

Ravikumar T.S., Sridhar S., Rao R.N., Subcutaneous lateral internal sphincterotomy for chronic fissure-in-ano, Dis Colon rectum, 25, pp. 798-801, (1982)

[4]

Tzu, Mackeigan J.M., Surgical treatment of chronic anal fissure, Dis Colon Rectum, 27, pp. 475-478, (1984)

[5]

Weaver R.M., Ambrose N.S., Willia A.J., Keighley, Manual dilatation of the anus vs lateral subcutaneous sphincterotomy in the treatment of chronic fissure-in-ano: results of a prospective, randomized, clinical trial, Dis Colon Rectum, 30, pp. 420-423, (1987)

[6]

Abcarian H., Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs fissurectomy-midline sphincterotomy, Dis Colon Rectum, 23, pp. 31-36, (1980)

[7]

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

[8]

Olsen J., Mortensen P.E., Krogh Petersen I., Christiansen J., Anal sphincter function after treatment of fissure-in-ano by lateral subcutaneous sphincterotomy versus anal dilatation, Int J Colorect Dis, 2, pp. 155-157, (1989)

[9]

Bode W.E., Culp C.E., Spencer R.J., Beart R.W., Fissurectomy with superficial midline sphincterotomy. A variable alternative for the surgical correction of chronic fissure/ulcer-in-ano, Dis Colon Rectum, 27, pp. 93-95, (1984)

[10]

Melange M., Vanheuverzwyn R., La manométrie anorectale, Louvain Med, 100, pp. 9-16, (1981)

← 1 2 3 →