改良纵切横缝术对慢性肛裂的临床疗效
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摘要
目的探究改良纵切横缝术对慢性肛裂的临床疗效。方法将2015年9月—2017年10月期间接受治疗的60例慢性肛裂患者作为研究对象,将其按照入院时间分为实验组与对照组,对照组给予常规纵切横缝术,实验组给予改良纵切横缝术。比较两组患者手术治疗效果。结果实验组患者切口愈合时间明显短于对照组(P<0.05);对照组患者疼痛以及水肿轻中度患者少于实验组,重度疼痛以及水肿患者多于实验组(P<0.05);且对照组切口感染患者多于实验组(P<0.05);对照组并发症发生率为6.67%,复发率为10.00%。观察组未见有患者复发或产生并发症,肛门恢复情况良好,并发症发生率以及复发率均为0.00%。两组患者复发率以及并发症发生率比较,差异有统计学意义(P<0.05);实验组患者生活质量量表内容评分均高于对照组(P<0.05)。结论对慢性肛裂患者使用改良纵切横缝术治疗效果显著,术后情况良好,不易产生并发症,生活质量更高,值得临床推广使用。
Objective To explore the clinical effect of improved longitudinal incision and transverse operation on chronic anal fissure. Methods Sixty patients with chronic anal fissure who were admitted to Fengshun County People's Hospital from September 2015 to October 2017 were enrolled in the study and divided into an experimental group and a reference group according to the time of admission. The reference group received conventional longitudinal incision and transverse suture,while the experimental group received modified operation. The effect of surgical treatment was compared between the two groups of patients. Results The experimental group showed shorter wound healing time than the reference group( P < 0. 05). The reference group had less pain and mild-to-moderate edema patients,more severe pain and edema patients( P < 0. 05),and more wound infection patients than the experimental group( P < 0. 05).The complication rate in the reference group was 6. 67%,and the recurrence rate was 10. 00%. There was no recurrence or complication in the experimental group,and the recovery of anus was good. The recurrence rate and the incidence rate of complications between the two groups were significantly different( P < 0. 05). The quality of life scale scores of the experimental group were higher than those of the reference group( P < 0. 05). Conclusion Modified longitudinal incision and transverse suture has significant effects on chronic anal fissure,showing good postoperative conditions,no complications,and improved quality of life of the patients,which is worthy of clinical application.
Objective To explore the clinical effect of improved longitudinal incision and transverse operation on chronic anal fissure. Methods Sixty patients with chronic anal fissure who were admitted to Fengshun County People's Hospital from September 2015 to October 2017 were enrolled in the study and divided into an experimental group and a reference group according to the time of admission. The reference group received conventional longitudinal incision and transverse suture,while the experimental group received modified operation. The effect of surgical treatment was compared between the two groups of patients. Results The experimental group showed shorter wound healing time than the reference group( P < 0. 05). The reference group had less pain and mild-to-moderate edema patients,more severe pain and edema patients( P < 0. 05),and more wound infection patients than the experimental group( P < 0. 05).The complication rate in the reference group was 6. 67%,and the recurrence rate was 10. 00%. There was no recurrence or complication in the experimental group,and the recovery of anus was good. The recurrence rate and the incidence rate of complications between the two groups were significantly different( P < 0. 05). The quality of life scale scores of the experimental group were higher than those of the reference group( P < 0. 05). Conclusion Modified longitudinal incision and transverse suture has significant effects on chronic anal fissure,showing good postoperative conditions,no complications,and improved quality of life of the patients,which is worthy of clinical application.
引文
[1]詹兴云,闫作斌,刘文全,等.改良纵切横缝术治疗慢性肛裂的临床疗效观察[J].结直肠肛门外科,2017,3(4):494-497.
[2]刘建勇,汪俊科.改良纵切横缝术后慢性肛裂患者血清CRP IL-6和TNF-α水平[J].贵阳医学院学报,2017,42(9):1081-1083.
[3]于亚男,段振民,王双印,等.马应龙痔疮膏、云南白药、复方亚甲蓝溶液联合治疗慢性肛裂的疗效观察[J].河北医药,2016,38(20):3152-3153.
[4]于德明,姜国丹,刘慧峰.两种手术方法治疗老年人肛裂的临床疗效比较[J].中华老年医学杂志,2017,36(8):377-378.
[5]赵占强,胡文静.改良肛裂切除术治疗慢性肛裂的临床效果[J].中国医疗设备,2017,3(S1):209-209.
[6]赵斌,张志谦,吴锋.次侧切术后中药联合疗法治疗慢性肛裂的疗效分析[J].世界中西医结合杂志,2016,11(11):1548-1552.
[7]戴洛.肛裂切除术联合外括约肌切断术治疗慢性肛裂的临床疗效[J].实用临床医药杂志,2016,20(21):120-121.
[2]刘建勇,汪俊科.改良纵切横缝术后慢性肛裂患者血清CRP IL-6和TNF-α水平[J].贵阳医学院学报,2017,42(9):1081-1083.
[3]于亚男,段振民,王双印,等.马应龙痔疮膏、云南白药、复方亚甲蓝溶液联合治疗慢性肛裂的疗效观察[J].河北医药,2016,38(20):3152-3153.
[4]于德明,姜国丹,刘慧峰.两种手术方法治疗老年人肛裂的临床疗效比较[J].中华老年医学杂志,2017,36(8):377-378.
[5]赵占强,胡文静.改良肛裂切除术治疗慢性肛裂的临床效果[J].中国医疗设备,2017,3(S1):209-209.
[6]赵斌,张志谦,吴锋.次侧切术后中药联合疗法治疗慢性肛裂的疗效分析[J].世界中西医结合杂志,2016,11(11):1548-1552.
[7]戴洛.肛裂切除术联合外括约肌切断术治疗慢性肛裂的临床疗效[J].实用临床医药杂志,2016,20(21):120-121.