双向等压引流根治术治疗高位单纯性肛瘘的临床研究

发布时间：2018-09-15 20:11

【摘要】：目的观察双向等压引流根治术治疗高位单纯性肛瘘的临床疗效。方法将120例高位单纯性肛瘘并行手术治疗的患者,按随机数字表法分为治疗组和对照组,每组60例。治疗组行双向等压引流根治术,对照组行高位挂线低位切开术。观察术后24 h尿潴留评分、术后24 h及7天疼痛评分、创面愈合时间、治愈率,创面愈合后观察Wexner失禁评分、SF-36生活质量评分,随访6个月,观察复发率。结果两组患者的治愈率及术后6个月复发率比较,差异均无统计学意义(P0.05)。与对照组比较,治疗组术后24 h尿潴留评分、术后24 h及7天疼痛程度评分均降低(P0.01),创面愈合时间缩短(P0.01),愈合后Wexner失禁评分降低(P0.01),SF-36生活质量评分提高(P0.01)。结论与高位挂线低位切开术相比,双向等压引流根治术治疗高位单纯性肛瘘具有减轻局部疼痛、减少尿潴留发生、缩短疗程、保护肛门功能、改善患者生活质量优势。
[Abstract]:Objective to observe the clinical effect of double-way isobaric drainage in the treatment of high-level simple anal fistula. Methods 120 patients with high level simple anal fistula were divided into treatment group (n = 60) and control group (n = 60). Two-way isobaric drainage radical operation was performed in the treatment group and the high-hanging line-low incision was performed in the control group. Urinary retention score at 24 hours, pain score at 24 hours and 7 days after operation, wound healing time, cure rate, Wexner incontinence score and SF-36 quality of life score after wound healing were observed, followed up for 6 months, the recurrence rate was observed. Results there was no significant difference between the two groups in the cure rate and the recurrence rate at 6 months after operation (P0.05). Compared with the control group, the scores of urinary retention at 24 hours after operation, the pain degree at 24 hours and 7 days after operation in the treatment group were decreased (P0.01), the wound healing time was shortened (P0.01), the Wexner incontinence score was decreased (P0.01) and the quality of life score of SF-36 was improved (P0.01). Conclusion Bidirectional isobaric drainage radical operation in treating high level simple anal fistula has advantages of relieving local pain, reducing urinary retention, shortening course of treatment, protecting anal function and improving patients' quality of life.
【作者单位】：中日友好医院肛肠科;
【基金】：中日友好医院院级课题基金资助项目(No.2014-2-MS-11)
【分类号】：R657.16

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