内口结扎切口缩创缝合引流术治疗低位单纯性肛瘘的临床研究

发布时间：2018-05-03 23:02

本文选题：低位单纯性肛瘘 + 内口结扎　；参考：《成都中医药大学》2015年硕士论文

【摘要】：目的：通过对内口结扎切口缩创缝合引流术与肛瘘切开引流术两种手术方式的比较,观察评估“内口结扎切口缩创缝合引流术”手术治疗低位单纯性肛瘘的临床疗效。方法：收集60例符合纳入标准的低位单纯性肛瘘住院患者随机分成试验组和对照组,试验组30例选用内口结扎切口缩创缝合引流术,对照组30例选用肛瘘切开引流术。观察比较两组病例的临床疗效、手术时间、术中出血、术后并发症、术后创面大小、瘢痕面积、切口愈合时间、肛门功能及随访半年复发情况等相关因素。结果：试验组在术后创面面积、伤口愈合时间、术后瘢痕大小、术后出血等方面明显优于对照组,存在显著性差异(P0.01)；而在手术当天及术后7天内肛门疼痛、尿潴留、术后切口水肿、术后感染、近期临床疗效、肛门功能影响及随访半年复发情况等方面两组无显著性差异(P0.05)；手术时间试验组比对照组稍长,存在显著差异(P0.01)。结论：内口结扎切口缩创缝合引流术能够有效的治疗低位单纯性肛瘘。同时该术式具有缩小术后切口创面,减轻术后出血,缩短创面愈合时间,保护肛门功能和缩小术后瘢痕面积的优点,符合微创化和快速康复外科(FTS)的理念,是治疗低位单纯性肛瘘的良好手术方式。
[Abstract]:Objective: to compare the two operative methods of internal ligation, incision, suture, drainage and anal fistula incision and drainage, and to evaluate the clinical effect of "internal ligation, incision, wound, suture, drainage" in the treatment of low simple anal fistula. Methods: sixty inpatients with low grade simple anal fistula were randomly divided into experimental group and control group. 30 patients in the test group were treated with internal ligation incision, and 30 patients in the control group were treated with anal fistula incision and drainage. The clinical efficacy, operative time, intraoperative bleeding, postoperative complications, postoperative wound size, scar area, wound healing time, anal function and recurrence in half a year were observed and compared between the two groups. Results: the experimental group was superior to the control group in wound area, wound healing time, postoperative scar size, postoperative bleeding and so on, there was significant difference between the two groups (P 0.01), but on the day of operation and 7 days after operation, anal pain and urinary retention were observed. There was no significant difference between the two groups in incision edema, postoperative infection, short-term clinical effect, anal function and recurrence in half a year, but the operation time in the experimental group was a little longer than that in the control group, and there was a significant difference between the two groups (P 0.01). Conclusion: the internal ligation incision and suture drainage can effectively treat low-grade simple anal fistula. At the same time, the operation has the advantages of reducing incision wound, reducing postoperative bleeding, shortening wound healing time, protecting anal function and reducing postoperative scar area, which accords with the idea of minimally invasive and rapid rehabilitation surgery FTS. It is a good way to treat low simple anal fistula.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.16

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