The Study Of The Longitudinallycut And Transverse Suture Of Internal Anal Sphincter Technique For The Treatment Of Chronic Anal Fissure

OBJECTIVE: Anal fissure surgery on patients with internal sphincter and anal fissure longitudinal joints resection surgery, of course, after effects, after incision in patients with pain, anal fate edema, complications such as urinary retention, anal control function and after it Whether or not the anal canal have a "keyhole-like" deformity, such as after-effects were compared to observe the longitudinal joints within the sphincter anal fissure surgery in the treatment of the role and mechanism.METHOD: Selected 20 patients with anal fissure were randomly divided into test group and control group, 10 cases of Example 10. Test group sphincter longitudinal line transverse joint operation; control group anal fissure excision, incision and the sphincter is not special treatment, open drainage. Efficacy of two patients, pain, edema fate anus, the urinary retention, wound healing time and incontinence of anal Whether or not produce a "keyhole-like" deformity such as observation and comparison and to gather data, conduct statistical analysis of the data . RESULT: The results showed that two groups of patients in the efficacy of anal control will be part of dysfunction and postoperative complications (pain, anal margin of edema, urinary retention) and so no significant difference (P>0.05), but in the wound healing time, postoperative anal pipe "keyhole-like" deformities, etc. There was a significant difference (P<0.05). Anal fissure surgery can be seen in the use of longitudinal joints with more lines sphincter anal fissure after surgery were shorter wound healing time; the use of longitudinal joints in patients with sphincter of the anus after anal fissure malformation rate than the excision lines were low; not observed in patients with sphincter of longitudinal joints to increase the occurrence of postoperative complications.CONCLUSION: longitudinal joints within the sphincter anal fissure surgery than patients with after a short course of treatment, And the rate of postoperative anal deformity is lower.so it has the exact role and it is safe.