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目的 :探讨肛门直肠良性狭窄病因和有效的外科治疗途径。方法 :轻度肛门直肠狭窄 ,采用扩肛治疗 ;狭窄段长度超过1cm者 ,据狭窄程度分别采用狭窄部纵切横缝、Y V皮瓣插入、直肠内环状狭窄 3点瘢痕切除等方式。结果 :33例患者经扩肛和各种手术治疗 ,除 1例术后证实为直肠腺癌改行Mile根治术 2年内死亡外 ,其他患者按罗享卿分级 :属Ⅰ级 2 9例(87.88% ) ,Ⅱ级 3例 (9.0 9% ) ,总治愈率 96 .97%。结论 :扩肛是预防和治疗肛门良性狭窄不可缺少的方法 ,而外科手术才是治愈该病的唯一途径
Objective: To explore the etiology and effective surgical treatment of anorectal stenosis. Methods: Mild anal rectal stenosis was treated by anal augmentation. The length of stenosis was more than 1 cm. According to the degree of stenosis, transverse suture of the stenosis was inserted, YV flap was inserted, and 3 cases of rectal annular stenosis were excised. Results: 33 cases were treated with anal augmentation and various surgeries. All cases were classified into two groups according to Luo Qingqing except 1 case whose rectal adenocarcinoma was transplanted to Mile radical surgery within 2 years after operation. Among them, 29 cases (87.88%) were grade Ⅰ, Ⅱ grade in 3 cases (9.0 9%), the total cure rate was 96.97%. Conclusions: Anal augmentation is an indispensable method for the prevention and treatment of benign anorectal strictures, and surgery is the only way to cure the disease