Internal Anal Sphincter In Anal Fissure Surgery Applied Anatomic

Purpose：Explore the new method of treatment of stage Ⅲ anal fissure，Both Can maximumprotection within and around the anus sphincter muscle tissue organ of function, and alsoone-time cure anal fissure，Reduce surgical damage to the anal tissue，Maintain the normalfunction of the anus。Method:Surgical contraindications III of anal fissure70patients，From Anorectal East CountyPeople’s Hospital between January2010to January2011patients admitted to hospital，They were randomly divided into two groups, Treatment group of35cases,35cases in thecontrol group. Treated patients with sphincter in anal fissure side part of the cut plus lesionresection surgical treatment, The control group patients for surgical treatment of analfissure excision。Postoperative cure rate of the two groups of patients, anal function, postoperativecomplications (recurrence, fecal impaction, wound infection, pain, bleeding, voidingdysfunction, rectal bulge, exudate unclean), length of stay, wound healing timeon suchaspects as the observation and comparison. And do statistical analysis.Results:Two groups of patients were cut off of the sphincter, in the cure rate, recurrent,postoperative feces incarcerated, infection of incision, anus function without statisticsstatistical significance (P>0.05)，But there are two groups in postoperative complications(pain, bleeding, voiding dysfunction, rectal bulge, the exudate dirty), hospital stay, healingtime was statistically significant (P <0.05), Treatment group than in the control group.Conclusion：The part of the cut plus lesion excision in the treatment of stage Ⅲ anal fissure anal fissure side of the internal sphincter，Is in tune with the trend of development of minimallyinvasive surgery, To shorten the course of treatment to improve efficacy and reducecomplications occurred as a criterion, Release the anal canal and lower anal restingpressure, improve the the anus local blood supply, removing the complications of analfissure，To achieve the purpose of a thorough treatment of anal fissure, and well protectedanal organization and its functions. The method is safe and effective, easy to master,worthy of clinical application.