开窗旷置配合切扩虚线置管术治疗高位瘘管性脓肿临床研究  

Clinical Study on Windowing Subsection,Integrating Free and Put,Cutting and Expanding with Thread Drawingand Tubing Drainage for Anal Fistula in High Anorectal Sepsis

作　　者：李梅[1] 李帅军[1] 胡响当[1] 盛利[1] 

机构地区：[1]湖南中医药大学第二附属医院国家重点肛肠科,湖南长沙410005

出　　处：《亚太传统医药》2016年第22期80-82,共3页Asia-Pacific Traditional Medicine

基　　金：湖南省中医药科研计划项目(2014121);湖南省重点学科中医外科学资助(湘教发[2011]76号)

摘　　要：目的:观察开窗旷置配合切扩虚线置管术治疗高位瘘管性脓肿的临床疗效。方法:将符合纳入标准的60例高位瘘管性脓肿患者作为研究对象,按入院时间随机分为试验组与对照组各30例。试验组患者采用开窗旷置配合切扩虚线置管术治疗,对照组患者采用传统切开引流术治疗。观察比较两组临床疗效。结果:经治疗,试验组患者治愈率为90%,高于对照组的86.7%,差异无统计学意义(P>0.05);试验组患者随访半年内复发4例(13.3%),少于对照组6例(20.0%),差异无统计学意义(P>0.05)。两组患者术后1周并发症、术后半年肛门失禁情况、创面愈合时间等方面比较差异具有统计学意义(P<0.05)。结论:开窗旷置配合切扩虚线置管术治疗高位瘘管性脓肿远期疗效好,术后并发症少,具有术后愈合时间短、手术微创等优点,肛门失禁发生率低,可改善患者肛门括约肌功能,值得临床推广应用。Objective：To investigate the validity and safety of windowing subsection, integrating free and put, cutting and expanding with thread drawing and tubing drainage for Anal Fistula in High anorectal Sepsis. Methods：All 60 patients were divided into test group treated with the way of ＂windowing subsection, integrating free and put, cutting and expanding with thread drawing and tubing drainage＂ and control group with the way of ＂incision-thread-drawing＂. Results：The cure rate in test group was 90 %, with 4 cases of recurrence in follow-up period（13.3%）, and in control group was 86.7%, with 6 cases of recurrence in follow-up period （20.0 %）,the differences of cure rate and recurrence rate between the two group were not statistically significant （P〉0.05） ;the differences of postoperative complications, anal incontinence, wound healing time and so on between two groups were statistically significant （P〈0.05）;Conclusion：Compared with the control group, this technique is equal in the cure rate, recurrence, and has the advantages of short healing time, small scar and minimally invasive surgery. Test group in the anal function of protection is superior to the control group, it is worth promoting.

关 键 词：开窗旷置配合切扩虚线置管术 高位瘘管性肛周脓肿 有效性 安全性 临床研究 

分 类 号：R242[医药卫生—中医临床基础]