小切口微创术治疗顽固性肛周瘙痒36例疗效观察  

Refractory Perianal Pruritus Surgically Treated with Mini-incision Minimally Invasive Procedure:Effect Observation on 36 Cases

作　　者：李杉 常翔 LI Shan;CHANG Xiang(Dept.of Dermatology,Wuwei City's People's Hospital,Gansu 733000)

机构地区：[1]甘肃省武威市人民医院皮肤科,甘肃武威733000

出　　处：《中国肛肠病杂志》2020年第12期54-55,共2页Chinese Journal of Coloproctology

摘　　要：为探讨小切口微创术治疗顽固性肛周瘙痒的临床效果,选择72例顽固性肛周瘙痒患者,随机分为观察组和对照组,各36例。观察组采用小切口微创术治疗,对照组采用肛周封闭联合外涂药膏治疗。比较2组治疗效果、并发症及复发情况。结果显示,观察组治疗4周后VAS评分低于对照组,皮肤病生活质量指数及匹兹堡睡眠质量指数评分均高于对照组(P<0.05)。治疗后两组在肛周脓肿、尿潴留和感染发生率方面比较,差异无统计学意义(P>0.05)。观察组治疗后3、6个月复发率均低于对照组(P<0.05)。结果表明,小切口微创术治疗顽固性肛周瘙痒,能减轻患者疼痛,降低并发症发生率,减少复发,值得临床推广应用。This study was to investigate the clinical effect of refractory perianal pruritus(RPAP)surgically treated with mini-incision minimally invasive procedure(MIMIP),randomly divided 72RPAP patients into observation group(36cases,received MIMIP)and control group(36cases,perianal blocking plus externally painting unction);then,compared both groups'effect,complication and recurrence status.As results,at 4 weeks after treatment in the incidence of perianal abscess and uroschesis,as well infection there was no statistical difference between two groups;but in VAS ratings,in the score on quality of life,and on PSQI(Pittsburgh sleep quality index),and in the recurrence rate at 3,6 months after treatment observation group was respectively and significantly lower,higher,and lower than control group(all,P<0.05).Results show that MIMIP for RPAP can alleviate patients's sufferings,reduce complication incidence,decrease recurrence,thus is worthy to be popularized to use clinically.

关 键 词：肛周瘙痒 小切口微创术 疗效 

分 类 号：R657.1[医药卫生—外科学]