我科自1980年5月开始用复方氢化可的松注射于肛裂基底部,治疗早期肛裂80例,效果良好,现报道于下:一般资料本组80例,男28例,女52例,病程短者15天,长者6个月。治疗方法用氢化可的松10毫克(2毫升)加2%普鲁卡因6毫升,吸入接有6号针头10毫升的注射器内。患者屈膝侧卧位,局部常规消毒,在肛裂基底部距肛缘0.5厘米处进针,深约3厘米,左手食指做引导,缓缓注药4毫升,然后针退至皮下,再向两侧扇形注药4毫升,隔周注射1次。少数患者注射后10分钟左右偶尔出现头晕反应,此时应注意是否为普鲁卡因过敏,并采取积极的抢救措施。疗效观察本组注射一次者68例,二次者12例,注射后两周内复查,痊愈为肛裂愈合,自觉症状消失,大便畅通,不痛不带血;好转为肛裂创面未愈,但自觉症状消失;无效为治疗前后无明显变化。结果:65例 Our department from May 1980 began with compound hydrocortisone injection in the anal fissure base, the treatment of early anal fissure in 80 cases, the effect is good, are reported below: General information The group of 80 patients, 28 males and 52 females , A short duration of 15 days, the elderly 6 months. Treatment with hydrocortisone 10 mg (2 ml) plus 2% procaine 6 ml, inhalation of a syringe with a 6-pin 10 ml. Patient knees lateral position, local routine disinfection, at the base of the anal fissure 0.5 cm from the anal edge into the needle, about 3 cm deep, left index finger to do the guide, slowly inject 4 ml, and then needle back to the skin, and then to the two Side fan injection 4 ml, injection every other week. A few patients after injection about 10 minutes occasional dizziness reaction, this time should pay attention to whether the procaine allergy, and take active rescue measures. Efficacy of this group of 68 cases were injected once, twice in 12 cases, two weeks after injection review, healed anal fissure healing, symptoms disappeared, stool clear, no pain without blood; improved to anal fissure wound healing, However, symptoms disappeared; invalid for the treatment before and after no significant change. Results: 65 cases