应用Apamarga Ksharasutra和开放外侧内括约肌切开术治疗慢性骨裂:一项随机对照临床试验。

Ayu Pub Date : 2019-07-01 Epub Date: 2020-08-08 DOI:10.4103/ayu.AYU_144_18
Hetal L Nakrani, Tukaram Sambhaji Dudhamal
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引用次数: 1

摘要

简介:Parikartika类似于肛瘘,是肛肠疾病中常见的疼痛性疾病之一。Ksharasutra是一种准外科手术,在治疗Parikartika方面是有效的。目的:比较Apamarga Ksharasutra与开放外侧内括约肌切开术(OLIS)治疗慢性骨裂(Parikartika)的疗效。材料和方法:选择30例有慢性骨裂(Parikartika)体征和症状的患者,随机分为两组。A组(n = 15)在肛门拉伸后行Ksharasutra结扎术;B组(n = 15)在局麻或脊髓麻醉下行OLIS合并皮赘切除术。术后症状和并发症(如有)的缓解记录持续4周,随访1个月。结果:两组疗效均显著,但组间差异无统计学意义。缓解术后疼痛、出血、肿胀和伤口愈合所需的时间,A组(Ksharasutra)比B组(OLIS)更长。结论:OLIS在治疗慢性骨裂(Parikartika)方面比Ksharasutra结扎有更好的效果。
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Apamarga Ksharasutra application and open lateral internal sphincterotomy in the management of Parikartika (chronic fissure‑in‑ano): A randomized controlled clinical trial.

Introduction: Parikartika resembles fissure‑in‑ano which is one of the common painful disease among the anorectal disorders. Ksharasutra which is a para‑surgical procedure is effective in the management of Parikartika.

Aim: To compare the efficacy of Apamarga Ksharasutra and open lateral internal sphincterotomy (OLIS) in the management of Parikartika (chronic fissure‑in‑ano).

Materials and methods: Total 30 patients having signs and symptoms of Parikartika (chronic fissure‑in‑ano) were selected and randomly divided into two groups. In Group A (n = 15), Ksharasutra ligation after anal stretching was carried out while in Group B (n = 15), OLIS with excision of skin tag was carried out under local anesthesia or spinal anesthesia. Relief in postoperative symptoms and complications if any was recorded for 4 weeks and follow‑up was done for the period of 1 month.

Results: In both the groups, significant results were obtained, but the difference among groups was statistically insignificant. Duration required for relief in postoperative pain, bleeding, swelling, and wound healing was found to be more in Group A (Ksharasutra) than Group B (OLIS).

Conclusion: OLIS provided better results compared to Ksharasutra ligation in the management of Parikartika (chronic fissure‑in‑ano).

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