肛周末梢神经离断术治疗慢性肛周湿疹的临床观察

发布时间：2018-05-06 10:16

本文选题：慢性肛周湿疹 + 肛周末梢神经离断术　；参考：《新疆医科大学》2013年硕士论文

【摘要】：目的：探讨肛周末梢神经离断术（AEN）及中药熏洗外加辅助治疗（HFW）慢性肛周湿疹的疗效，，为治疗慢性肛周湿疹提供较好的治疗方法。方法：回顾性分析2011年3月-2012年3月新医科大学第一附属医院肛肠科收治的60例慢性肛周湿疹的患者，随机将其分成手术组30例，保守治疗组30例，比较两组治疗前的一般资料，手术组术后一周及保守治疗组一个疗程后瘙痒缓解程度、皮损恢复程度，以及9个月后两组患者是否仍有明显瘙痒症状及皮损的情况等指标。结果：两组治疗前一般资料比较无统计学差异（P㧐0.05），手术组术后一周的瘙痒缓解程度、皮损恢复程度较保守治疗组一个疗程后的疗效好，9个月后手术组的患者仍有明显瘙痒症状及皮损的情况较保守治疗组的患者情况好，差异均有统计学意义（P㩳0.05）。结论：两种治疗方法均可治疗慢性肛周湿疹，但肛周末梢神经离断术缓解瘙痒及皮损恢复较迅速且疗效较好。且术后不易复发。值得推广。
[Abstract]:Objective: to investigate the effect of Aen and Chinese herbal fumigation plus auxiliary therapy on chronic perianal eczema in patients with chronic perianal eczema, and to provide a better method for the treatment of chronic perianal eczema. Methods: from March 2011 to March 2012, 60 patients with chronic perianal eczema in the Department of anus and intestine, first affiliated Hospital of New Medical University, were analyzed retrospectively. The patients were randomly divided into operation group (n = 30) and conservative treatment group (n = 30). The general data of the two groups before treatment were compared. The degree of relief of pruritus, the degree of recovery of skin lesions, and whether there were still obvious symptoms of pruritus and lesions in the two groups after one week after operation and one course of treatment in the conservative treatment group were compared. Results: there was no significant difference in general data before treatment between the two groups. The recovery degree of skin lesion was better than that of conservative treatment group after one course of treatment, and the patients in operation group still had obvious pruritus symptoms and lesions after 9 months, which were better than those in conservative treatment group, and the difference was statistically significant. Conclusion: both methods can be used to treat chronic perianal eczema. And postoperative recurrence is not easy. It is worth popularizing.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R758.23

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