瘘管剥除括约肌挂浮线引流术治疗高位肛瘘的临床研究

发布时间：2019-03-30 14:03

【摘要】：目的:设计“瘘管剥除括约肌挂浮线引流术”治疗高位肛瘘,并与传统的“瘘管切开挂线引流术”治疗高位肛瘘进行对照,探讨瘘管剥除括约肌挂浮线引流术治疗高位肛瘘的临床疗效和安全性。方法:纳入符合诊断标准的高位肛瘘病例40例,随机分成治疗组和对照组,其中瘘管剥除括约肌挂浮线引流术组(治疗组)20例,瘘管切开挂线引流术组(对照组)20例。观察两组在治愈率、复发率、愈合时间、肛门功能、肛管动力学、术后并发症及后遗症方面的差异。结果:两组在创面治愈率、尿潴留方面差异无统计学意义(P0.05)。两组在术后第3、7天疼痛情况有差异(P0.05),第14天疼痛情况无差异(P0.05),治疗组疼痛情况较轻(以术后第3、7天为明显)。两组在愈合时间、肛管动力学、肛门功能方面差异有统计学意义(P0.05),治疗组优于对照组。治疗组和对照组均临床痊愈,随访半年两组均无复发。结论:瘘管剥除括约肌挂浮线引流术治疗高位肛瘘与瘘管切开挂线引流术相比,治愈率相当,但术后疼痛轻,愈合时间缩短,能很好的维持肛门正常形态、保护肛门功能。
[Abstract]:Objective: to design the "Fistula exfoliation sphincter floating line drainage" for the treatment of high anal fistula, and to compare it with the traditional "fistula incision and drainage" in the treatment of high anal fistula. To evaluate the clinical efficacy and safety of sphincter drainage in the treatment of high anal fistula. Methods: 40 cases of high anal fistula were randomly divided into treatment group (n = 20) and control group (n = 20). There were 20 cases in group A (n = 20) and group B (n = 20) in which sphincter was removed from sphincter. The differences of cure rate, recurrence rate, healing time, anal function, anal dynamics, postoperative complications and sequelae between the two groups were observed. Results: there was no significant difference in wound cure rate and urine retention between the two groups (P0.05). The pain of the two groups was different on the 3rd and 7th day after operation (P0.05), and there was no difference on the 14th day (P0.05). The pain in the treatment group was mild (especially on the 3rd and 7th day after operation). There were significant differences in healing time, anal dynamics and anal function between the two groups (P0.05), and the treatment group was superior to the control group. Both the treatment group and the control group were cured and there was no recurrence in the two groups after half a year of follow-up. Conclusion: the curative rate of fistula exfoliation sphincter floating line drainage is similar to that of fistula incision and thread drainage, but the pain after operation is light, the healing time is shortened, and it can maintain the normal shape of anus and protect anal function. [WT5 "HZ] conclusion:\?
【学位授予单位】：川北医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.16

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