68例复杂肛瘘患者行分段挂线引流术治疗的临床观察
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摘要
目的观察分段挂线引流术在复杂性肛瘘治疗中的临床疗效。方法选择2013年1月至2015年6月本院收治的136例复杂性肛瘘患者为研究对象,随机分为对照组和观察组,每组各68例。对照组实施传统切开挂线引流术,观察组采用分段切开挂线对口引流术。比较两组临床总有效率、术后创面愈合时间、住院时间、肛门功恢复能情况。结果观察组临床总有效率为94.12%,显著高于对照组的77.94%,差异有统计学意义(P<0.05)。观察组创面愈合时间、住院时间分别为(20.31±3.59)d、(10.65±3.94)d,均显著短于对照组(P<0.05)。观察组术后肛门功能恢复正常率为97.06%,显著高于对照组的86.76%(P<0.05)。结论在复杂性肛瘘的临床治疗中,分段挂线引流术疗效良好,能够有效缩短肛门创面愈合时间、住院时间,利于促进术后肛门功能恢复正常。
Objective To observe the clinical effect of the treatment of complex anal fistula by segmental thread drawing drainage.Methods 136 patients with complex anal fistula admitted to our hospital from January 2013 to June 2015 were selected as the research object,They were randomly divided into control group and observation group,68 cases in each group. The control group was treated with traditional incision and thread drawing drainage,and the observation group was treated with the incision and thread drawing drainage.The total clinical effective rate,postoperative wound healing time,hospital stay,and recovery of anal function were compared between the two groups.Results The total effective rate of the observation group was 94.12%,Significantly higher than the control group 77.94%,The difference was statistically significant(P < 0.05).The wound healing time and hospitalization time in the observation group were(20.31±3.59) d,(10.65±3.94) d,Were significantly shorter than those in the control group(P < 0.05).The recovery rate of postoperative anal function in the observation group was 97.06%,Significantly higher than the control group 86.76%(P < 0.05).Conclusion In the clinical treatment of complex anal fistula,segmental seton drainage is effective,which can effectively shorten the healing time and hospitalization time,and promote the recovery of anal function.
Objective To observe the clinical effect of the treatment of complex anal fistula by segmental thread drawing drainage.Methods 136 patients with complex anal fistula admitted to our hospital from January 2013 to June 2015 were selected as the research object,They were randomly divided into control group and observation group,68 cases in each group. The control group was treated with traditional incision and thread drawing drainage,and the observation group was treated with the incision and thread drawing drainage.The total clinical effective rate,postoperative wound healing time,hospital stay,and recovery of anal function were compared between the two groups.Results The total effective rate of the observation group was 94.12%,Significantly higher than the control group 77.94%,The difference was statistically significant(P < 0.05).The wound healing time and hospitalization time in the observation group were(20.31±3.59) d,(10.65±3.94) d,Were significantly shorter than those in the control group(P < 0.05).The recovery rate of postoperative anal function in the observation group was 97.06%,Significantly higher than the control group 86.76%(P < 0.05).Conclusion In the clinical treatment of complex anal fistula,segmental seton drainage is effective,which can effectively shorten the healing time and hospitalization time,and promote the recovery of anal function.
引文
[1]任东林,张恒.复杂性肛瘘诊治中需要注意的几个关键问题[J].中华胃肠外科杂志,2015,18(12):1186-1192.
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[6]陈锦珍,向德志,何隆甫,等.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的有效性临床研究[J].中国现代药物应用,2015,9(12):87-88.
[7]李云燕,郑鑫.改良切口引流联合挂线术治疗高位复杂性肛瘘的临床观察[J].中国农村卫生事业管理,2013,33(4):470-472.
[8]赵金成,陈浩,刘宏方,等.切开挂线对口引流术在复杂性肛瘘患者中的应用体会[J].中国实用医药,2015,10(7):68-69.
[9]马英.分段开窗旷置对口引流切开挂线联合中药治疗复杂性肛瘘148例[J].西部中医药,2013,26(6):78-80.
[10]TOZER P,SALA S,CIANCI V,et al.Fistulotomy in the Tertiary Setting can Achieve High Rates of Fistula Cure with an Acceptable Risk of Deterioration in Continence[J].Journal of gastrointestinal surgery:official journal of the Society for Surgery of the Alimentary Tract,2013,17(11):1960-1965.
[11]陈金秀.切口挂线对口引流术应用于复杂性肛瘘临床探讨[J].航空航天医学杂志,2013,24(2):176-177.
[12]徐振东.切开挂线结合开窗分段引流及旷置术治疗复杂性肛瘘的疗效观察[J].中国保健营养(上旬刊),2014,24(2):793-794.
[13]闫守月.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的疗效分析[J].河南医学研究,2014,23(7):122-124.
[14]陈振康,季利江,翁立平.分段切开、多重挂线术治疗高位复杂性肛瘘疗效观察[J].现代中西医结合杂志,2010,19(31):3410-3411.
[15]何永恒,谭正洋,徐焱尧,等.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的安全性多中心临床研究[J].中国普外基础与临床杂志,2010,19(12):1270-1274.
[2]CIROCCHI R,TRASTULLI S,MORELLI U,et al.The treatment of anal fistulas with biologically derived products:is innovation better than conventional surgical treatment?An update[J].Techniques in coloproctology,2013,17(3):259-273.
[3]袁和学,曾宪东,殷志韬,等.复杂性肛瘘的治疗进展[J].中国临床医生,2014,42(2):17-20.
[4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:55-56.
[5]TOKUNAGA Y,SASAKI H,SAITO T.Clinical role of a modified seton technique for the treatment of transsphincteric and supra-sphincteric anal fistulas[J].Surgery today,2013,43(3):245-248.
[6]陈锦珍,向德志,何隆甫,等.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的有效性临床研究[J].中国现代药物应用,2015,9(12):87-88.
[7]李云燕,郑鑫.改良切口引流联合挂线术治疗高位复杂性肛瘘的临床观察[J].中国农村卫生事业管理,2013,33(4):470-472.
[8]赵金成,陈浩,刘宏方,等.切开挂线对口引流术在复杂性肛瘘患者中的应用体会[J].中国实用医药,2015,10(7):68-69.
[9]马英.分段开窗旷置对口引流切开挂线联合中药治疗复杂性肛瘘148例[J].西部中医药,2013,26(6):78-80.
[10]TOZER P,SALA S,CIANCI V,et al.Fistulotomy in the Tertiary Setting can Achieve High Rates of Fistula Cure with an Acceptable Risk of Deterioration in Continence[J].Journal of gastrointestinal surgery:official journal of the Society for Surgery of the Alimentary Tract,2013,17(11):1960-1965.
[11]陈金秀.切口挂线对口引流术应用于复杂性肛瘘临床探讨[J].航空航天医学杂志,2013,24(2):176-177.
[12]徐振东.切开挂线结合开窗分段引流及旷置术治疗复杂性肛瘘的疗效观察[J].中国保健营养(上旬刊),2014,24(2):793-794.
[13]闫守月.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的疗效分析[J].河南医学研究,2014,23(7):122-124.
[14]陈振康,季利江,翁立平.分段切开、多重挂线术治疗高位复杂性肛瘘疗效观察[J].现代中西医结合杂志,2010,19(31):3410-3411.
[15]何永恒,谭正洋,徐焱尧,等.分段开窗旷置结合切扩挂线置管引流术治疗复杂性肛瘘的安全性多中心临床研究[J].中国普外基础与临床杂志,2010,19(12):1270-1274.