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肛裂必须手术吗 熊之焰 湖南中医药大学第二附属医院(湖南省中医院) 肛裂不一定需要手术。早期肛裂如果肛裂比较轻,可以先采用保守以及药物治疗,但同时也要注意以下几点:一、要注意饮食,避免辛辣以及刺激的食物,多吃粗纤维食物,以保持大便通畅;二、应当用温盐水或者温开水进行坐浴,或者是中药坐浴,以促进肛周的血液循环而保持肛周的清洁;三、可以应用太宁栓、太宁膏进行外用,主要起抗炎、止血止痛的作用,肛裂一般的症状可以通过药物治疗而得到改善,但是慢性肛裂如果伴有肛乳头肥大、内括约肌痉挛、或者是肛门狭窄,这时保守治疗往往效果不好,一般需要进行手术治疗,如果患者自己无法分辨自己是否需要手术治疗,建议去正规的医院找专业的医生进行鉴别诊断,以免延误病情。 Does anal fissure need operation Anal fissure does not need surgery. If the early anal fissure is lighter, We can start with conservative treatment and medication, But at the same time, we should also pay attention to the following points: first, we should pay attention to diet, Avoid spicy and spicy food, Eat more crude fiber food, To keep the stool unobstructed; 2、 You should use warm brine or boiled water for sitting bath, Or traditional Chinese medicine sitting bath, In order to promote the blood circulation around the anus and keep it clean; 3、 It can be used for external use, It mainly plays the role of anti inflammation, hemostasis and pain relief, The general symptoms of anal fissure can be improved by drug treatment, But if chronic anal fissure is accompanied by anal papilla hypertrophy, internal sphincter spasm, or anal stenosis, At this time, conservative treatment is often ineffective, Surgery is usually needed, If the patient can't tell if they need surgery, It is suggested to go to a regular hospital to find a professional doctor for differential diagnosis, So as not to delay the illness.