保留括约肌手术治疗肛瘘的临床效果  

Clinical effect of sphincter preservation surgery treating anal fistula

作　　者：宗轶 陈华 周艳 姜雨昕 郑伟琴 彭凡平 ZONG Yi;CHEN Hua;ZHOU Yan;JIANG Yu-xin;ZHENG Wei-qin;PENG Fan-ping(Department of Anorectal,Fuyong People's Hospital of Bao'an District in ShenzhenCity,Guangdong Province,Shenzhen 518103,China)

机构地区：[1]深圳市宝安区福永人民医院肛肠科,广东深圳518103

出　　处：《中国当代医药》2021年第4期95-98,共4页China Modern Medicine

摘　　要：目的探讨保留括约肌手术治疗肛瘘的临床效果。方法选取2017年1月~2019年7月深圳市宝安区福永人民医院收治的50例肛瘘患者作为研究对象,按照随机分组法分为对照组(25例)与研究组(25例)。对照组采用一次切开挂线术治疗,研究组实施黏膜下移保留括约肌手术治疗。比较两组的一次性治愈率,术后肛门疼痛、肛缘水肿评分,并发症总发生率,手术操作时间及住院时间。结果研究组的一次性治愈率高于对照组,差异有统计学意义(P<0.05),研究组的术后肛门疼痛及肛缘水肿评分低于对照组,差异有统计学意义(P<0.05),研究组的术后并发症总发生率低于对照组,手术操作时间及术后住院时间短于对照组,差异均有统计学意义(P<0.05)。结论肛瘘患者治疗黏膜下移保留括约肌术治疗能有效提升手术质量及治疗效果,缓解术后不适感受,降低术后并发症发生率,同时能优化手术流程,缩短治疗及住院时间,值得推广应用。Objective To explore the clinical effect of sphincter preservation surgery treating anal fistula.Methods Fifty patients with anal fistula admitted to Fuyong People's Hospital of Bao'an District in Shenzhen City from January 2017 to July 2019 were selected as the research objects.They were divided into control group(25 cases)and study group(25 cases)according to the random grouping method.The control group was treated with one-time incision and thread-drawing,the study group adopted the surgical treatment method of preserving the sphincter to preserve the mucosa.The one-time cure rates,anal pain,anal edema scores after surgery,incidence of complications,surgical operation time and hospitalization time were compared between the two groups.Results The one-time cure rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The postoperative anal pain score and marginal edema score of the study group were lower than those of the control group,the differences weretatistically significant(P<0.05),the total incidence of postoperative complications in the study group was lower than that in the control group,and the operation time and postoperative hospital stay were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of the treatment plan of sphincter preserving sphincter in the treatment of anal fistula patients can effectively improve the quality of the operation and the treatment effect,alleviate the discomfort of the patients after surgery,reduce the incidence of postoperative complications,and optimize the surgical procedure,shorten the treatment and hospitalization time,which is worth promoting and applying.

关 键 词：肛瘘 一次切开挂线术 黏膜下移保留括约肌手术 肛门疼痛 

分 类 号：R657.1[医药卫生—外科学]