填埋式引流管在复杂性肛瘘治疗中的应用  

Application of buried drainage tube in treatment of complex anal fistulas

作　　者：蔡张愉[1] 卿艳平[1] 李通 吴为明[1] 项雄华 金海波[1] Cai Zhangyu;Qing Yanping;Li Tong;Wu Weiming;Xiang Xionghua;Jin Haibo(Department of Anal and Colorectal Surgery,the Affiliated Hospital of Medical School of Ningbo University,Ningbo 315000,China)

机构地区：[1]宁波大学医学院附属医院肛肠外科,315000

出　　处：《中华全科医师杂志》2020年第2期134-136,共3页Chinese Journal of General Practitioners

摘　　要：对2018年6—12月宁波大学医学院附属医院肛肠外科收治的12例复杂性肛瘘手术治疗中,采用填埋式引流管进行引流,术后每日自填埋式引流管进行2次冲洗,术后15 d拔除填埋式引流管。所有患者均手术顺利,术后第1、3、5天疼痛视觉模拟评分分别为(3.21±1.27)、(2.34±1.22)、(1.89±0.78)分;随访3个月,伤口愈合时间(25.2±7.0)d;11例愈合,1例复发;术前、术后Wexner评分、肛管静息压、肛管最大收缩压水平比较,差异无统计学意义(均P>0.05)。提示填埋式引流管在复杂性肛瘘治疗中的应用是一种安全、有效的改良技术,可以缩短愈后时间,降低复发率。Twelve patients with complex anal fistulas were treated in the Affiliated Hospital of Medical School of Ningbo University from June to December 2018.All the patients were successfully operated,and after the operation the wound was rinsed twice a day by buried drainage tube.Patients were followed up for 3 months,the wound was healed in 11 cases and relapsed in 1 case with a mean wound healing time of(25.2±7.0)d;the pain scores at 1 d,3 d and 5 d after surgery were 3.21±1.27,2.34±1.22 and 1.89±0.78,respectively.There was no significant difference in preoperative and postoperative Wexner scores,anal resting pressure,and anal maximum systolic pressure(P>0.05).This innovative technique with buried drainage tube is safe and effective,which can shorten the recovery time and reduce the recurrence rate.

关 键 词：直肠瘘 引流术 肛管后深间隙 肛门括约肌后深间隙 

分 类 号：R657[医药卫生—外科学]