小针刀行肛周皮下神经离断治疗顽固性肛门瘙痒的临床研究
摘要
目的:探讨小针刀行肛周皮下神经离断治疗顽固性肛门瘙痒的临床疗效。方法:回顾性分析60例顽固性肛门瘙痒患者分别行传统改良Ball手术(对照组,30例)和小针刀肛周皮下神经离断(治疗组,30例)的手术治疗效果。结果:两组治疗效果确切,对照组有效26例(有效率87%),治疗组有效27例(有效率90%),两组疗效无明显差异(P>0.05)。对照组术后切口出血7例,治疗组2例;对照组切口裂开3例,治疗组无伤口裂开;对照组伤口愈合时间为(7.9±1.4)d,治疗组(3.7±1.2)d。对相应指标进行统计分析,治疗组在术后肛门切口出血、裂开、愈合时间明显优于对照组(P<0.05)。结论:小针刀肛周皮下神经离断在治疗顽固性肛门瘙痒方面具有疗效确切,微创,出血少,疼痛轻微,术后恢复好,愈合时间短等优势。
引文
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[3]王永志,董福慧,钟红刚,等.小针刀减张法对大鼠股薄肌受压迫后肌张力和神经末梢影响的研究[J].中国骨伤,2011,24(12):1020-3.
[4]徐廷翰,刘金龙,毛红,等.中国痔瘘诊疗学[M].四川科学技术出版社,2008.11:514-515.
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