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本文介绍目前国外对肛裂治疗的一些方法,着重点在肛裂与内括约肌的关系。肛裂的治疗一、保守治疗 (一)避免便秘:这是保守治疗中最重要的一环,若能避免硬的粪块对肛管的损伤,许多浅表性肛裂常不需任何其他治疗而迅速愈合。用缓泻剂或液体石蜡等可帮助排便,但不宜长期服用,因稀便不宜维持过久,以免发生肛管狭窄。 (二)麻醉软膏:在肛管内应用麻醉软膏可减轻肛裂所致的疼痛及肛管痉挛,一般用3％地卡因或5％利多卡因软膏。地卡因浓度不应大于3％,以免发生皮炎。药膏应涂至肛管内,不应只涂于肛周皮
This article describes some of the current foreign methods of treatment of anal fissure, with a focus on anal fissure and the relationship between the internal sphincter. Anal fissure treatment First, the conservative treatment (A) to avoid constipation: This is the most important part of conservative treatment, if we can avoid hard fecal anal damage, many superficial anal fissure often do not need any other treatment Healed quickly. With laxatives or liquid paraffin can help defecation, but not long-term use, due to loose stool should not be maintained too long, so as to avoid anal stenosis. (B) anesthesia ointment: anesthesia ointment in the anal canal can reduce the pain caused by anal fissure and anal canal cramps, usually with 3% lidocaine or 5% lidocaine ointment. Cocaine concentration should not exceed 3%, in order to avoid dermatitis. Ointment should be applied to the anal canal, should not be applied to the perianal skin