A review of chronic anal fissure management

被引：62
作者：
Collins E.E. [1 ]
Lund J.N. [1 ]
机构：
[1] Department of Surgery, University of Nottingham Medical School at Derby, Derby City General Hospital, Derby, DE22 3DT, Uttoxeter Road
来源：
Techniques in Coloproctology | 2007年 / 11卷 / 3期
关键词：
Anal dilatation; Anal fissure; Anal stretch; Botulinum toxin; Calcium channel blocker; Fissure in ano; Glyceryl trinitrate; Nitrate; Sphincterotomy;
D O I：
10.1007/s10151-007-0355-9
中图分类号：
学科分类号：
摘要：
Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal sphincterotomy remains the surgical treatment of choice for many practitioners. Postoperative impairment of continence remains controversial. Recently, less invasive methods of treatment have been explored. Topical nitrates, calcium channel blockers and botulinum toxin are established treatments. These and other non-surgical treatments are described in this review. Various guidelines and treatment algorithms for anal fissure are also discussed. © 2007 Springer-Verlag.
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页码：209 / 223
页数：14
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