潜行剥离瘘管并内口挂线术治疗高位复杂性肛瘘的临床研究

发布时间：2018-04-23 00:01

本文选题：潜行剥离瘘管 + 内口挂线　；参考：《川北医学院》2017年硕士论文

【摘要】：目的:通过与低位切开缝合高位挂线术的对比研究,探讨潜行剥离瘘管并内口挂线术治疗高位复杂性肛瘘的临床疗效。方法:选取临床确诊高位复杂性肛瘘40例,随机分成实验组和对照组各20例。实验组采用潜行剥离瘘管并内口挂线术,对照组采用低位切开缝合高位挂线术,比较观察两组在治愈率、复发率、愈合时间、肛管直肠压力、术后并发症方面的差异。结果:两组均治愈,治愈率均为100%,术后随访均无复发,复发率均为0%,两组病例在治愈率、复发率方面比较差异无统计学意义(P0.05)。在术后排尿情况、感染、创面愈合时间、肛门失禁、术后第12天疼痛方面比较差异均无统计学意义(P0.05)。在术后第1天、第7天疼痛有显著性差异(P0.05)。两组直肠静息压、肛管静息压、肛管最大收缩压均差异有统计学意义(P0.05),实验组优于对照组。结论:潜行剥离瘘管并内口挂线术治疗高位复杂性肛瘘与低位切开缝合高位挂线术相比,治愈率相同,但术后疼痛轻,在维持肛管直肠压力及保护肛管直肠肌肉方面具有优势。
[Abstract]:Objective: To explore the clinical effect of the treatment of high complex anal fistula with latent exfoliation fistula and internal mouth hanging through comparative study of low incision suture and suture. Method: 40 cases of high complex anal fistula were selected and divided into experimental group and 20 cases in control group. The results were compared between the two groups in the cure rate, the recurrence rate, the healing time, the anorectal pressure and the postoperative complications. Results: the two groups were all cured, the cure rate was 100%, no recurrence after the operation, the recurrence rate was 0%, the two groups of cases in the cure rate, the recurrence rate of the difference was not statistically different statistics. P0.05. There was no significant difference in postoperative urination, infection, wound healing time, anus incontinence, and twelfth days after operation (P0.05). There were significant differences in pain (P0.05) at the first day after operation (P0.05). The difference between the two groups of rectal resting pressure, anus resting pressure and the maximum systolic pressure of anal canal was statistically significant (P0.05). The treatment group was superior to the control group. Conclusion: the cure rate of high complex anal fistula with low incision suture and suture is the same, but the postoperative pain is light, and it has advantages in maintaining anorectal pressure and protecting anal canal and rectum.

【学位授予单位】：川北医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.16

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