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| Exploring and Analyzing the Efficacy of Modified Anal Fissure Resection Combined with Chinese Herbal Sitz Bath in the Treatment of Chronic Anal Fissure |
| SUN Lijun |
| Pingquan City Hospital, Hebei Pingquan 067500, China |
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Abstract Objective: To analyze the clinical value of modified anal fissure resection combined with traditional Chinese medicine sitz bath in patients with chronic anal fissure. Methods: A retrospective study was carried out on 120 patients with chronic anal fissure who underwent anal fissure resection in our hospital's anorectal department from March 2020 to September 2021,and the patients were divided into traditional operation group and modified operation group according to their surgical methods.In the traditional surgery group (n=57),the treatment method was traditional anal fissure excision + herbal sitz bath,and in the modified surgery group (n=63),the treatment method was modified anal fissure excision + herbal sitz bath.The time of operation,hospitalisation,post-operative wound healing time,pain scores,incidence of post-operative complications,cure rate,and post-operative recurrence rate were observed and recorded for both groups. Results: Before treatment,there was no statistically significant difference in the general clinical information (gender,age,duration of disease,blood in stool,pain level,staging,etc.) between the patients in the conventional surgery group and the modified surgery group (P>0.05).The duration of surgery was significantly greater in the conventional surgery group (24.13±3.04) min than in the modified surgery group (19.17±2.91) min,with a significant difference (P<0.001).The length of hospital stay was significantly greater in the conventional surgery group (9.21±1.89) than in the modified surgery group (6.23±1.27),with a significant difference (P<0.001).After 48 hours postoperatively,the mean difference (4.45±1.22) of VAS scores before and after operation in the modified operation group was significantly higher than that in the traditional operation group (2.71 ± 1.90),and the difference was statistically significant (P<0.001).The wound healing time was significantly greater in the conventional surgery group (21.60±3.53) days than in the modified surgery group (19.03±3.23) days (P=0.001).At 1 month after surgery,there was no significant difference between the incisional healing grade A rate of patients in the modified surgery group (92.06%) and the incisional healing grade A rate of patients in the conventional surgery group (87.72%),(P=0.626).The incidence of postoperative complications was much greater in the conventional surgery group (11 cases,19.30%) than in the modified surgery group (2 cases,3.17%),(χ2=6.471,P=0.011).The cure rate was 65.08% in the modified surgery group and 59.65% in the conventional surgery group.The cure rate was significantly higher in the modified surgery group than in the conventional surgery group,but the difference between the groups was not statistically significant (p=0.539).By the end of the 3-month follow-up period after surgery,no recurrence was observed in patients in both the conventional and modified surgery groups. Conclusion: Modified anal fissure excision combined with traditional Chinese medicine sitz bath can effectively shorten the operation time,recover faster after operation,relieve postoperative pain,shorten wound healing time,and effectively avoid complications.
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2023, Vol. 29 
