皮瓣转移术治疗肛门狭窄的疗效分析与临床研究
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摘要
目的:探究和分析皮瓣转移术治疗肛门狭窄的临床疗效。方法:选择某院70例肛门狭窄患者(收治时间为2017年1月～2017年12月)作为研究对象,将其随机分为对照组和研究组,每组各35例,对照组采用内括约肌切断术治疗,研究组采用皮瓣转移术治疗,对比两组治疗效果。结果:研究组患者手术时间(45.1±4.3)min明显长于对照组(30.4±3.5)min,研究组患者住院时间(8.2±4.7)d明显短于对照组(19.6±9.4)d,研究组患者治疗的总有效率(97.1%)明显高于对照组(88.6%),研究组患者再次狭窄率(0.0%)明显低于对照组(11.4%),两组对比差异显著(P<0.05)。结论:对肛门狭窄患者采用皮瓣转移术治疗,不仅具有良好的治疗功效,同时还能缩短患者预后周期,降低其病症复发率。
Objective:To explore and analyze the clinical efficacy of skin flap transposition in the treatment of anal stenosis.Methods:70 cases of patients with anal stenosis in a hospital(from January 2017 to December 2017)were selected as the study subjects and randomly divided into the control group(35 cases)and the study group(35 cases).The control group was treated with internal sphincterotomy.The study group was treated with skin flap transposition and the treatment effects of the two groups were compared.Results:The operative time of the study group(45.1±4.3)min was significantly longer than that of the control group(30.4±3.5)min.The length of stay in the study group(8.2±4.7)days was significantly shorter than that of the control group(19.6±9.4)days.The total effective rate of treatment(97.1%)was significantly higher than that of the control group(88.6%),and the rate of re-stenosis(0.0%)was significantly lower in the study group than in the control group(11.4%).There was a significant difference between the two groups(P<0.05).Conclusion:The use of skin flap transposition for patients with anal stenosis not only has good therapeutic efficacy,but also shortens the prognostic cycle and reduces the recurrence rate of the disease.
Objective:To explore and analyze the clinical efficacy of skin flap transposition in the treatment of anal stenosis.Methods:70 cases of patients with anal stenosis in a hospital(from January 2017 to December 2017)were selected as the study subjects and randomly divided into the control group(35 cases)and the study group(35 cases).The control group was treated with internal sphincterotomy.The study group was treated with skin flap transposition and the treatment effects of the two groups were compared.Results:The operative time of the study group(45.1±4.3)min was significantly longer than that of the control group(30.4±3.5)min.The length of stay in the study group(8.2±4.7)days was significantly shorter than that of the control group(19.6±9.4)days.The total effective rate of treatment(97.1%)was significantly higher than that of the control group(88.6%),and the rate of re-stenosis(0.0%)was significantly lower in the study group than in the control group(11.4%).There was a significant difference between the two groups(P<0.05).Conclusion:The use of skin flap transposition for patients with anal stenosis not only has good therapeutic efficacy,but also shortens the prognostic cycle and reduces the recurrence rate of the disease.
引文
1 肖镇寰,刘琴远,胡饶.纵切横缝联合挂线术治疗肛门狭窄效果分析.江西医药,2016,51(2):144～146.
2 孙勇.低位直肠癌保肛术后肛门狭窄治疗探讨.山西职工医学院学报,2015,25(5):53～54.
3 陈扬,金威,易成建,等.皮瓣转移术治疗肛门狭窄的疗效分析与临床研究.中国医药指南,2015,13(21):115.
4 杨丽梅,王华.不同术式治疗肛门狭窄80例临床观察.中国民族民间医药,2014,23(18):82;87.
5 谢沐初,廖行忠,王少星,等.改良纵切横缝术治疗肛门狭窄8例.结直肠肛门外科,2012,18(3):203.
2 孙勇.低位直肠癌保肛术后肛门狭窄治疗探讨.山西职工医学院学报,2015,25(5):53～54.
3 陈扬,金威,易成建,等.皮瓣转移术治疗肛门狭窄的疗效分析与临床研究.中国医药指南,2015,13(21):115.
4 杨丽梅,王华.不同术式治疗肛门狭窄80例临床观察.中国民族民间医药,2014,23(18):82;87.
5 谢沐初,廖行忠,王少星,等.改良纵切横缝术治疗肛门狭窄8例.结直肠肛门外科,2012,18(3):203.