摘要
目的观察开放式瘘管切除术治疗肛瘘患者的临床疗效。方法选取我院肛瘘患者88例作为研究样本,采用随机数字表法分为对照组与观察组,每组44例。对照组患者行常规瘘管挂线术治疗,观察组患者行开放式瘘管切除术治疗。观察比较两组患者的手术情况(手术时间、出血量、治疗总有效率、并发症发生情况)、康复情况(疼痛评分、创面愈合时间、肛门失禁Wexner评分、住院时间)。结果观察组患者手术时间(35.54±2.01)min、出血量(97.43±1.51)mL、治疗总有效率97.73%与对照组的(36.05±3.04)min、(98.73±2.07)mL、95.45%相比,差异均无统计学意义(P>0.05)。观察组患者并发症发生率2.27%、疼痛评分(2.10±0.10)分、创面愈合时间(12.03±0.41)d、肛门失禁Wexner评分(2.45±0.11)分、住院时间(4.85±0.70)d与对照组的13.64%、(4.58±0.36)分、(26.41±2.15)d、(8.47±0.69)分、(7.25±0.51)d比较,差异具有统计学意义(P<0.05)。结论采用开放式瘘管切除术治疗肛瘘,治疗总有效率较高,且并发症少,可有效减轻术后疼痛,促进创面愈合,以防肛门失禁,改善预后。
Objective To observe the clinical effect of open fistula resection in the treatment of patients with anal fistula.Methods Eighty-eight patients with anal fistula in our hospital were selected as study samples,,they were divided into control group and observation group by using random number table method,with 44 cases in each group.The patients in the control group were treated with routine fistula wire hanging,and the patients in the observation group were treated with open fistula resection.The operation conditions(operation time,bleeding volume,total effective rate of treatment,complication occurrence),rehabilitation(pain score,wound healing time,anal incontinence Wexner score,hospitalization time)were observed and compared between the two groups.Results The operative time of the observation group(35.54±2.01)min,bleeding volume(97.43±1.51)mL,total effective rate of treatment 97.73%compared with(36.05±3.04)min,(98.73±2.07)mL,95.45%of control group,the differences were not statistically significant(P>0.05).The incidence of complications 2.27%,pain score(2.10±0.10)points,wound healing time(12.03±0.41)days,anal incontinence Wexner score(2.45±0.11)points,hospitalization time(4.85±0.70)days compared with 13.64%,(4.58±0.36)points,(26.41±2.15)days,(8.47±0.69)points,(7.25±0.51)days of control group,the differences were statistically significant(P<0.05).Conclusion The use of open fistula resection to treat anal fistula has a higher total effective rate and fewer complications.It can effectively reduce postoperative pain,promote wound healing,prevent anal incontinence and improve prognosis.
作者
郑天一
ZHENG Tianyi(Shenyang Anorectal Hospital,Shenyang 110000,China)
出处
《中国医药指南》
2020年第29期40-41,共2页
Guide of China Medicine
关键词
肛瘘
开放式瘘管切除术
瘘管挂线术
临床疗效
并发症
Anal fistula
Open fistula resection
Fistula wire hanging
Clinical efficacy
Complications
