摘要
将2015年9月至2016年8月宁波大学医学院附属医院收治的77例复杂性肛瘘患者,按入院当天所在月份分为A组(奇数月,38例)和B组(偶数月,39例),分别采用瘘管潜剥结合多孔浮线引流术和肛瘘切除挂线术治疗。两组的手术时间[(28.6±2.4)与(26.6±2.7)min]差异无统计学意义(P〉0.05);A组术后疼痛程度评分[(2.2±0.84)分]、创面面积[(3.7±0.84) cm2]、创面愈合时间[(23.4±2.41)d]、手术治愈率(97.4%)、术后1年内复发率(5.3%),均优于B组[(4.2±1.3)分、(7.28±1.83) cm2、(38.8±3.49)d、79.5%、25.6%];A组术后肛肠动力学指标明显优于B组,差异均有统计学意义(均P〈0.05)。瘘管潜剥结合多孔浮线引流术治疗复杂性肛瘘术后疼痛轻、恢复快、肛门功能损伤小,有更好的远期临床疗效。
Seventy seven patients with complicated anal fistula were randomly assigned to receive tunnel fistulectomy with multiseton drainage (group A, n=38) or traditional fistulectomy (group B, n=39) for treatment.The clinical data and the treatment outcomes of two groups were compared.There was no significant difference in operation time between two groups (P〉0.05). However, group A was significantly superior to group B in postoperative pain Numerical Pain Rating Scak (NPRS) score [(2.2±0.84) vs. (4.2±1.3), P〈0.05)], wound surface area [(3.7±0.84) cm2vs. (7.28±1.83) cm2,P〈0.05], wound healing time [(23.4±2.41) d vs. (38.8±3.49) d, P〈0.05 ], cure rate(97.4% vs. 79.5%, P〈0.05) and recurrent rate 1 year after surgery(5.3% vs. 25.6%, P〈0.05). The postoperative anorectal dynamic parameters of group A were also better than those of group B (P〈0.05). Compared to traditional fistulectomy, the tunnel fistulectomy with multiseton drainage has advantages of less pain, faster recovery, less disturbance in anal function and better long-term clinical effect in treatment of complicated anal fistula.
作者
项雄华
李通
金海波
刘丽丽
吴为明
蔡张愉
卿艳平
Xiang Xionghua;Li Tong;Jin Haibo;Liu Lili;wu weiming;Cai Zhangyu;Qing Yanping(Department of Colorectal Surgery,the Affiliated Itospital of Ningbo University Medical School,Ningbo 315000,Zhefiang,China)
出处
《中华全科医师杂志》
2018年第8期626-628,共3页
Chinese Journal of General Practitioners
关键词
直肠瘘
外科手术
小
引流术
挂线法
Rectal fistula
Surgical procedures, minor
Drainage
Thread-ligating therapy