改道置管肛外引流术治疗直肠黏膜下脓肿的临床疗效  

Clinical Efficacy of Redirection Catheter Drainage outside the Anus in Treating Rectal Submucosal Abscess

作　　者：高晶[1] 张少军[1] 应光耀[1] 

机构地区：[1]上海市嘉定区中医医院肛肠科,上海201800

出　　处：《华西医学》2013年第2期234-236,共3页West China Medical Journal

基　　金：上海市中医临床重点学科建设项目(ZYXK2012015);上海市中医临床优势专科建设项目(2008YSZK006)~~

摘　　要：目的探讨改道置管肛外引流术治疗直肠黏膜下脓肿的临床疗效。方法 2007年5月-2012年5月,将76例直肠黏膜下脓肿患者分为改道置管肛外引流术(治疗组)和传统切开引流术(对照组)治疗,每组各38例,两组患者在年龄、性别比、病程等方面具有可比性。观察两组患者治愈时间、治愈率、随访3个月的复发情况以及肛门直肠压力测定,评价两组患者临床疗效及肛门功能保护情况。结果治疗组患者治愈时间为(21.3±6.37)d,对照组为(29.5±4.52)d,治疗组时间明显缩短(t=5.79,P<0.01);治疗组治愈率97.3%,对照组为73.6%,差异有统计学差异(χ2=6.81,P<0.01);两组患者随访3个月的肛门功能比较,RRP治疗组为3.48±0.61,对照组3.22±0.79,差异无统计学意义(t=1.61,P>0.05);ARP治疗组为19.05±3.76,对照组为17.55±3.31,差异无统计学意义(t=1.85,P>0.05);ALCT治疗组为36.74±4.70,对照组为37.13±3.90,差异无统计学意义(t=0.39,P>0.05);AMCP治疗组为24.03±5.80,对照组为21.8±4.91,差异无统计学意义(t=1.61,P>0.05)。结论改道置管肛外引流术治疗直肠黏膜下脓肿可缩短疗程,提高治愈率。Objective To observe the clinical efficacy of redirection catheter drainage outside the anus in treating rectal submucosal abscess.Methods Between May 2007 and May 2012,76 patients with rectal submucosal abscess were randomly divided into two groups with 38 in each.Patients in the treatment group were treated by redirection catheter drainage outside the anus,while patients in the control group were treated by traditional incision and drainage therapy.There were no significant differences in terms of age,sex ratio,disease duration between the two groups,though they were comparable.Cure time,cure rate,three-month recurrence and anorectal manometry results were observed to evaluate clinical efficacy and the function of anal sphincter.Results The cure time of the treatment group was（21.3 ± 6.37） d and the control group was（29.5 ± 4.52） d（t=5.79,P0.01）;the cure rate of the treatment group was 97.3% whereas the control group was 73.6%（χ2=6.81,P0.01）.The functions of anal sphincter three months later were as follows： RRP in the treatment group was 3.48±0.61,in the control group was 3.22±0.79（t=-1.61,P0.05）;ARP in the treatment group was 19.05 ± 3.76,and in the control group was 17.55±3.31（t=-1.85,P0.05）;ALCT in the treatment group was 36.74 ± 4.70,and in the control group was 37.13±3.90（t=-0.39,P0.05）;AMCP in the treatment group was 24.03 ± 5.80,and in the control group was 21.8 ± 4.91（t=-1.61,P0.05）.Conclusion The redirection catheter drainage outside the anus can shorten the course of treatment and improve the cure rate in treating rectal submucosal abscess.

关 键 词：改道置管肛外引流术 直肠黏膜下脓肿 临床疗效 

分 类 号：R657.1[医药卫生—外科学]