ObjectiveTo summarize the recent development of surgical treatment for chronic anal fissure. MethodsThe related literatures on various operation treatment of anal fissure at home and abroad in recent years were collected and reviewed. ResultsThere are many operation treatment methods of anal fissure, includes the closed or open lateral internal sphincterotomy, excision of anal fissure, skin flap plasty, and other operation modes.The different operation methods each has its advantages and disadvantages, but there are a certain percentage of the incidence of complications and the recurrence risk. ConclusionFor what kind of operation method is the most suitable for the treatment of chronic anal fissure is no fixed conclusion.
目的 探討預防慢性肛裂手術并發癥的技巧。方法 回顧性分析近3年筆者所在單位收治的63例慢性肛裂患者的臨床資料，男21例，女42例，年齡（34±12）歲（17～51歲），均行肛裂切除術，并在處理內括約肌時采用橡皮筋結扎法，觀察術后并發癥的發生情況。 結果 所有患者術后恢復良好，無一例出現術后大出血、肛裂復發、肛門失禁等并發癥。 結論 通過采用橡皮筋結扎法處理內括約肌，避免了術后并發癥的發生，該方法值得推廣。