肛裂怎么治疗最好 刘世举 河南中医药大学第三附属医院 скачать в хорошем качестве

肛裂怎么治疗最好 刘世举 河南中医药大学第三附属医院

肛裂怎么治疗最好 刘世举 河南中医药大学第三附属医院 肛裂的治疗方式选择是根据肛裂具体的分期来定，早期肛裂一般可以采用保守治疗，如局部中药坐浴，可以使肛门括约肌松弛，肛裂的一个创面涂抹消炎止疼的一些膏药，可以促进创面的一个愈合，肛门内塞入痔疮栓，可以缓解肛门的一个疼痛以及肛门的痉挛，还需要口服缓泻剂，保持大便的一个松软、润滑、疼痛的剧烈程度，如果对于疼痛特别剧烈的患者，可以采用布鲁卡因的局部封闭以及保留灌肠，缓解肛裂的疼痛，那么早期肛裂果没有得到及时的治疗或者是对于保守治疗效果不太好的肛裂的患者，病情继续发展会形成陈旧性肛裂，那么对于陈旧性肛裂的治疗呢，一般则是需要，采用手术来进行治疗，根据肛裂，陈旧性肛裂有没有肛乳头肥大，有没有坠皮外痔和皮下瘘等并发症，选用不同的手术治疗的方式，对于没有这些坠皮外痔，皮下瘘和肛乳头肥大的并发症的陈旧性肛裂，我们可以采用单纯的扩肛法或者是内括约肌松解来进行治疗肛裂，那么对于伴有并发症的肛裂多是采用手术的一个切除，同时部分的切断肛门内括约肌来进行手术治疗，手术以后要保持大便的一个通畅，同时采用一些药物的坐浴，以及熏洗、换药，保持这个伤面的清洁，促进它的愈合来进行治疗。 How to treat anal fissure best The choice of treatment is based on the specific stages of anal fissure, Early anal fissure can be treated conservatively, Such as local traditional Chinese medicine sitting bath, It can relax the anal sphincter, A wound of anal fissure is daubed with some plasters to relieve inflammation and pain, It can promote a wound healing, Hemorrhoids Suppository was inserted into anus, It can relieve the pain and spasm of the anus, You also need an oral laxative, Keep the stool soft, smooth and painful, If the pain is particularly severe in patients, Local blocking and retention enema of brucaine can be used, Relieve the pain of anal fissure, So the early anal fissure fruit is not treated in time or for the patients with anal fissure whose conservative treatment effect is not good, If the disease continues to develop, it will form old anal fissure, So for the treatment of old anal fissure, In general, it is necessary, Surgery was used, According to anal fissure, Does the old anal fissure have hypertrophy of anal papilla, Whether there are complications such as external hemorrhoids and subcutaneous fistula, Different surgical methods were used, Without these external hemorrhoids, Old anal fissure, a complication of subcutaneous fistula and anal papillary hypertrophy, We can use simple anal expansion or internal sphincter release to treat anal fissure, So for anal fissure with complications, it is usually a surgical resection, At the same time, part of the internal anal sphincter was cut off for surgical treatment, After the operation, you should keep your stool unobstructed, At the same time, some drugs are used for sitting bath, As well as fumigation, washing and dressing change, Keep the surface clean, Promote its healing for treatment.