低位切开高位实挂与虚挂疗法在治疗高位肛瘘中的疗效比较  被引量:5

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作  者:唐淑敏[1] 茆海兵[1] 葛庭瑞 

机构地区:[1]江苏省连云港市第一人民医院,江苏连云港222000

出  处:《结直肠肛门外科》2018年第A02期33-34,共2页Journal of Colorectal & Anal Surgery

摘  要:目的对比分析低位切开高位实挂方法和高位虚挂疗法在治疗高位肛瘘中的临床效果。方法此次研究于医院内部选取2015年2月~2018年3月江苏省连云港市第一人民医院肛肠科收治的150例高位肛瘘患者作为研究对象,将入组患者分成实验组和对照组,实验组使用低位切开虚挂疗法治疗,对照组使用低位切开高危实挂治疗,对比两组患者的治疗后的疼痛、肛门功能评分和愈合时间,以及患者术后并发症发生情况。结果两组的视觉模拟疼痛评分(VAS)和肛门失禁评分(Wexner)无明显差别(P>0.05);实验组的愈合时间显著短于对照组(P<0.05);实验组的并发症发生率和复发率显著低于对照组(P<0.05)。结论将低位切开高位虚挂疗法应用于高位肛瘘治疗中,能够使患者的肛门功能得到有效提升,同时能够缩短患者愈合的时间,并降低患者发生术后并发症的几率,在治疗的安全性和有效性上具有显著的优势,适宜广泛应用于临床治疗中。Objective to compare and analyze the clinical effect of low incision and high hanging method and high hanging therapy on high anal fistula.Internal selection method this research in hospital from February 2015 to March 2015 in jiangsu province lianyungang city first people's hospital of anorectal treated 150 cases of high anal fistula patients as the research object,divided into the group of patients into the experimental group and the control group,experimental group using low cut virtual therapy,the control group treated with low cut high-risk real hang,compared the two groups after the treatment of patients with pain,anal function score and healing time,postoperative complications and patients.Results there was no significant difference in visual analogue pain score(VAS)and anal incontinence score(Wexner)between the two groups(P>0.05).The healing time of the experimental group was significantly shorter than that of the control group(P<0.05).The complication rate and recurrence rate in the experimental group were significantly lower than those in the control group(P<0.05).Conclusion hang low cut high virtual therapy applied in high anal fistula treatment,can make anal function in patients with ascension,effectively at the same time can shorten healing time,patients and reduce the risk of postoperative complications in patients with the treatment on the safety and efficacy of has significant advantages,suitable for widely used in clinical treatment.

关 键 词:低位切开 高位实挂 高位虚挂 高危肛瘘 治疗效果 

分 类 号:R657.16[医药卫生—外科学]

 

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