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142例均为门诊病人,男38例,女104例,年龄15～54岁,平均年龄32岁。病程15天～20年。诊断依据:①排便时肛门处有撕裂样疼痛,常伴少量出血,便后疼痛不减轻或加剧。②肛门口常见皮垂,或见放射状溃疡创面,多位于肛管后部正中位或其两侧。治疗方法:患者取侧卧屈膝位,常规肛门消毒,用1％利多卡因局麻后扩肛,手持“二氧化碳激光刀”,光束垂直对准肛裂烧灼,范围须超过肛裂少许,形成内小外大的三角形平整创面,汽化或切除肥大的肛乳头,有关的病变肛窦、肛裂下缘的皮垂(哨兵
142 cases were outpatients, 38 males and 104 females, aged 15 to 54 years old, with an average age of 32 years. Duration of 15 days to 20 years. Diagnosis is based on: ① defecation anal tear-like pain, often accompanied by a small amount of bleeding, then the pain does not reduce or aggravate. ② common anal skin flap, or see the radial ulcers wounds, mostly in the middle of the anal canal or both sides of the median. Treatment: Patients take lateral flexion position, conventional anal disinfection, with 1% lidocaine local anesthesia anal, hand-held “carbon dioxide laser knife”, the beam perpendicular to the anal fissure burning, the scope of the anal fissure to be more than a little to form a small Outside the large triangular flat wound, vaporization or removal of hypertrophy of the anal nipple, the lesion of the anal sinus, anal fissure margin of the lower edge of the skin (Sentinel