肛裂手术怎么做 胡响当 湖南中医药大学第二附属医院（湖南省中医院） скачать в хорошем качестве

肛裂手术怎么做 胡响当 湖南中医药大学第二附属医院（湖南省中医院）

肛裂手术怎么做 胡响当 湖南中医药大学第二附属医院（湖南省中医院） 肛裂手术目的在于解除肛门狭窄以及括约肌痉挛，促使裂口愈合，祛除一些已经发生病变的组织，比如合并有哨兵痔，或合并有肛乳头肥大。在手术的时候一定要把合并的哨兵痔、肛乳头瘤一并处理。慢性肛裂往往会合并肛窦的感染伴有肛窦炎，所以在做肛裂手术的时候是一定要处理好感染的肛窦，否则的话肛裂的裂口很难愈合。至于肛裂的具体手术方式，当然要根据具体情况来决定，如果没有合并肛门狭窄，就做肛裂的切除就可以解决问题，如果合并有肛门狭窄或者是合并有内括约肌痉挛的，除了做肛裂的裂口的切除以外，还要做部分内括约肌的松解，如果伴有肛门狭窄程度很厉害的，光做括约肌的松解还不能解决问题的话，我可以选择纵切、横缝这样一种手术方式，当然也可以做切开挂线术。 How to do anal fissure operation The purpose of anal fissure operation is to relieve anal stenosis and sphincter spasm, Promote the crack to heal, Remove some diseased tissues, For example, the combination of sentinel hemorrhoids, Or combined with anal papilla hypertrophy. During the operation, we must treat the combined sentry hemorrhoids and anal papilloma together. Chronic anal fissure is often associated with anal sinusitis, So when doing anal fissure surgery, we must deal with the infected anal sinuses, Otherwise, the anal fissure is hard to heal. As for the specific operation mode of anal fissure, Of course, it depends on the specific situation, If there is no anal stenosis, The removal of anal fissure can solve the problem, If you have anal stenosis or internal sphincter spasm, Apart from the incision of the anal fissure, We also need to release some of the internal sphincter, If there is severe anal stenosis, If we can't solve the problem just by loosening the sphincter, I can choose the operation mode of longitudinal cutting and transverse sewing, Of course, incision and thread hanging can also be done.