高位肛周脓肿切除术中高位虚挂线引流与减压引流法应用效果分析  

Analysis of the Application Effect of High Virtual Hanging Line Drainage and Decompression Drainage in High Perianal Abscess Resection

作　　者：孙尚锋 杨秀秀 曹贵君[3] SUN Shangfeng;YANG Xiuxiu;CAO Guijun(Department of Anorectal Surgery,Zaozhuang Central Hospital of Shandong Guoxin Yiyang Group,Zaozhuang,Shandong Province,277000 China;Department of Laboratory,Zaozhuang Central Hospital of Shandong Guoxin Yiyang Group,Zaozhuang,Shandong Province,277000 China;Department of Spine Surgery,Affiliated Hospital of Jining Medical College,Jining,Shandong Province,272029 China)

机构地区：[1]山东国欣颐养集团枣庄中心医院肛肠外科,山东枣庄277000 [2]山东国欣颐养集团枣庄中心医院检验科,山东枣庄277000 [3]济宁医学院附属医院脊柱外科,山东济宁272029

出　　处：《系统医学》2022年第13期95-98,共4页Systems Medicine

基　　金：山东省医药卫生科技发展计划项目(2018WSB34010)。

摘　　要：目的探究高位肛周脓肿切除术中高位虚挂线引流与减压引流法应用效果。方法选取2020年1月—2021年2月山东国欣颐养集团枣庄中心医院收治60例行高位肛周脓肿切除术患者,按计算机随机分组法分为A组(高位虚挂线引流)和B组(减压引流),各30例。对比A、B组患者视觉模拟评分法(VAS)评分,时间指标情况,肛门功能以及并发症情况。结果B组患者手术2、7 d的VAS评分均低于A组,差异有统计学意义(t=12.489、9.757,P<0.05);B组手术时间、术后住院时间、创面愈合时间均显著低于A组,差异有统计学意义(t=2.328、3.513、2.504,P<0.05);B组患者肠管功能正常率为86.67%,高于A组的60.00%,肠管功能失禁率为13.33%低于A组患者的40.00%,差异有统计学意义(χ^(2)=5.455、5.455,P<0.05);B组复发率、肛瘘发生率分别为3.33%、6.67%,低于A组患者13.33%、16.67%,差异无统计学意义(χ^(2)=0.873、0.646,P>0.05)。结论高位肛周脓肿切除术中使用减压引流法更加利于缩短患者治疗时间,降低患者疼痛感,减少术后并发症发生,实现患者术后快速康复。Objective To explore the application effect of high virtual hanging thread drainage and decompression drainage in high perianal abscess resection.Methods From January 2020 to February 2021,60 patients with high perianal abscess who were treated in Zaozhuang Central Hospital of Shandong Guoxin Yiyang group were randomly divided into group A(high virtual thread drainage)and group B(decompression drainage),with 30 cases in each group.The scores of visual analogue scale(VAS),time indicators,anal function and complications of group A and group B were compared.Results VAS scores of group B were lower than group A on day 2 and 7 of operation,the difference was statistically significant(t=12.489,9.757,P<0.05).The indexes of operation time,postoperative hospital stay and wound healing time in group B were significantly lower than those in group A,the difference was statistically significant(t=2.328,3.513,2.504,P<0.05).The normal rate of bowel function in group B was 86.67%,which was higher than 60.00%in group A,and the rate of bowel incontinence was 13.33%,which was lower than 40.00%in group A,and the difference was statistically significant(χ^(2)=5.455,5.455,P<0.05).The recurrence rate and incidence of anal fistula in group B were 3.33%and 6.67%,respectively,lower than 13.33%and 16.67%in group A,the difference was not statistically significant(χ^(2)=0.873,0.646,P>0.05).Conclusion The use of decompression and drainage in high perianal abscess resection is more conducive to shortening the treatment time of patients,reducing the pain of patients,reducing postoperative complications,and achieving rapid postoperative recovery of patients.

关 键 词：高位虚挂线引流 减压引流法 高位肛周脓肿 应用效果 

分 类 号：R4[医药卫生—临床医学]