马应龙痔疮栓辅助手术治疗复杂肛瘘的疗效观察  

Clinical effect of Mayinglong Hemorrhoids Suppository-assisted operation in treatment of complex anal fistula

作　　者：陈爱霞[1] 杜杏坤[2] 吴春晓[3] 冯江雪[3] 王梅青[1] 周颖[1] 薛思思[1] 刘占伦[1] 

机构地区：[1]河北省中医院肛肠二科,河北石家庄050001 [2]沧州医学高等专科学校中医教研室,河北沧州061001 [3]河北省中医院肛肠一科,河北石家庄050001

出　　处：《中国现代医学杂志》2017年第9期121-124,共4页China Journal of Modern Medicine

摘　　要：目的探讨马应龙痔疮栓辅助手术治疗复杂肛瘘临床疗效。方法选复杂肛瘘患者共110例,随机分为对照组和观察组,每组55例,分别采用游离皮瓣阻断缝合手术和在此基础之上加用马应龙痔疮栓治疗,比较两组患者治疗效果、影响因素和术后并发症发生情况。结果观察组痊愈率(72.73%)高于对照组(54.55%),而并发症发生率低于对照组(P<0.05);观察组患者术后疼痛持续时间、创面愈合时间少于对照组(P<0.05);治疗后观察组患者肛门功能评分、肛管最大收缩压、肛管最长收缩时间、尿潴留分度及肛管静息压均优于对照组(P<0.05)。结论马应龙痔疮栓辅助手术治疗复杂肛瘘可有效改善患者治疗效果,提高预后质量。Objective To investigate the clinical effect of Mayinglong Hemorrhoids Suppository-assisted with operation in the treatment of complex anal fistula. Methods Totally 110 patients with complex anal fis- tula were chosen and randomly divided into control group and observation group, each had 55 cases. The pa- tients in the control group were treated with free flap suture occiusion surgery, those in the observation group were added with Mayinglong Hemorrhoids Suppository. The curative effect, influencing factors and the occur- rence of postoperative complications were compared between the two groups. Results The healing rate of the observation group was higher than that of the control group, and the incidences of complications were lower than those of the control group （P 〈 0.05）. The wound healing time and pain persistent time of the observation group were significantly shorter than those of the control group （P 〈 0.05）. The anal function scores, the maxi- mum systolic pressure of anal canal, the longest contraction time of anal canal, the urinary retention index, and anal resting pressure of anal canal after treatment in the observation group were significantly better than those in the control group （P〈 0.05）. Conclusions Mayinglong Hemorrhoids Suppository-assisted operation can effectively improve the treatment effect and the prognosis in the treatment of complex anal fistula.

关 键 词：马应龙痔疮栓 游离皮瓣间断缝合术 疗效 

分 类 号：R657.16[医药卫生—外科学]