만성치열의 외과치료(측방내괄약근절개술)

Abstract

We experienced the good result from Oh's modified open laternal internal sphincterotomy used for the treatment of 28 cases of chronic ana] fissure.

The results were as follows:

Pain whs subsided mostly within 1—2 days, and wound healed mostly in 3weeks.

3 cases of minor oozing and wound infection, respectively， and one case of granuloma were found at fissurectomy site.

No fecal soiling or incontinence was complained.

In one case the fissure was recurred.

Although the number of patients was small and period of follow-up was short, our early results were good enough to recommend this technique both to minimize bleeding and to afford the surgeon more technical control.

저자는 28여의 치열환자에 Oh의 개방식측방내괄약근절개술을 시행하여 재발 1예, 창상육아종 1예 외는 특별한 합병증이 없었다는 좋은 성적을 얻었다. 저자는 개방식내괄약근절개술을 후방내괄약근절개술 또는 폐쇄식 측방내괄약근절개술과 비교 관찰을 못하였지만 출혈감소와 수술정확성에 우수한 술식으로 사료되어 권하는 바이다.