肛瘘切缝内口引流术对肛瘘的临床疗效分析及安全性评价  

Analysis of Clinical Efficacy and Safety Evaluation of Anal Fistula Cutting Seam Drainage Operation in Patients with Anal Fistula

作　　者：杨全甫[1] 

机构地区：[1]北京市怀柔区中医医院,北京101400

出　　处：《中外医学研究》2013年第22期37-38,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨切缝内口(挂线)引流术对肛瘘的临床效果及术后安全性评价。方法:对笔者所在医院收治的87例肛瘘患者的资料进行回顾性分析,按照手术方式不同分为对照组和观察组;对比两组疗效、术后疼痛时间、切口愈合时间、Wexner肛门失禁评分等,并对术后不良反应发生率进行分析。结果:观察组疗效显著优于对照组(P<0.05);观察组术后疼痛时间、切口愈合时间明显少于对照组,Wexner肛门失禁评分显著低于对照组(均P<0.05)。两组术后切口流脓发生率观察组明显低于对照组(P<0.05),而瘙痒、疼痛发生率两组比较差异无统计学意义(P>0.05)。结论:肛瘘切缝内口引流术对肛瘘患者治疗效果明显,且不良反应发生率未见增加,术后伤口愈合快,肛门功能恢复情况良好,值得临床推广应用。Objective： To explore the clinical efficacy and safety evaluation of anal fistula cutting seam drainage operation.Methods： Retrospectively analyzed 87 cases of anal fistula patients were treated in our hospital, according to the different operation mode were divided into control group and observation group; Compared curative effect after operation, postoperative pain, wound healing time, anal incontinence score of Wexner, and the incidence of adverse reactions were analyzed after operation.Results： The curative effect of observation group was significantly better than control group（P〈0.05）; Postoperative pain time and wound healing time were significantly less than that in control group, anal incontinence scores of Wexner was significantly lower than those in the control group（P〈0.05）.The observation group incision discharging rate was lower than that of the control group（P〈0.05）, and the incidence of pruritus, pain were not significant difference between two groups（P〉0.05）.Condusion： Anal fistula cutting seam drainage procedure for patients with anal fistula is significant effect, and the incidence of adverse reaction is not increased , postoperative wound healing, and is worthy of clinical application.

关 键 词：肛瘘 切缝内口引流术 疗效 安全性 

分 类 号：R657.1[医药卫生—外科学]