挂线造口术治疗前庭大腺囊肿和脓肿46例临床效果分析

Analysis on clinical effect of hanging line colostomy surgery in treatment of 46 patients with vestibular big gland cyst and abscess

目的:比较挂线造口术与单纯切开造口术治疗前庭大腺囊肿和脓肿的临床效果。方法:将92例前庭大腺囊肿和脓肿患者按照随机数字表法分为观察组和对照组,每组各46例。观察组患者采用挂线造口术治疗,对照组使用单纯切开造口术治疗,比较两组患者手术时间、术中出血量、术后排气时间、住院时间、术中术后疼痛程度、术后炎症发生率及复发率。结果:观察组手术时间明显短于对照组(t=14.816,P<0.05),术中出血量明显少于对照组(t=10.628,P<0.05),术中及术后疼痛程度两组间有明显差别(P<0.05),观察组术后排气时间明显短于对照组(t=8.462,P<0.05),且住院时间较短(t=9.824,P<0.05),观察组术后炎症发生率明显低于对照组(6.5%vs 32.7%,χ2=9.946,P<0.05),且复发率明显低于对照组(0.0%vs 10.9%,χ2=5.287,P<0.05)。结论:挂线造口术治疗前庭大腺囊肿或脓肿临床效果好、复发率低,值得在临床推广应用。

Objective： To compare the clinical effects of hanging line colostomy surgery and simple colostomy surgery in treatment of vestibular big gland cyst and abscess. Methods： A total of 92 patients with vestibular big gland cyst and abscess were divided into observation group and control group according to random number table,46 patients in each group; the patients in observation group were treated with hanging line colostomy surgery,while the patients in control group were treated with simple colostomy surgery; the operation times,the amounts of intraoperative blood loss,the postoperative exhaust times,hospitalization times,the intraoperative and postoperative pain degrees,the incidence rates of postoperative inflammation and recurrence rates in the two groups were compared. Results： The operation time in observation group was statistically significantly shorter than that in control group（ t = 14. 816,P〈0. 05）,the amount of intraoperative blood loss was less than that in control group（ t = 10. 628,P〈0. 05）,there was statistically significant difference in intraoperative and postoperative pain degrees between the two groups（ P〈0. 05）,the postoperative exhaust time and the hospitalization time in observation group were statistically significantly shorter than those in control group（ t = 8. 462,P〈0. 05; t = 9. 824,P〈0. 05）,the incidence rate of postoperative inflammation in observation group（ 6. 5%） was statistically significantly lower than that in control group（ 32. 7%）（ χ2= 9. 946,P〈0. 05）,the recurrence rate in observation group（ 0. 0%） was statistically significantly lower than that in control group（ 10. 9%）（ χ2=5. 287,P〈0. 05）. Conclusion： The clinical effect of hanging line colostomy surgery in treatment of patients with vestibular big gland cyst and abscess is good and the recurrence rate is low,which is worthy clinical popularization and application.