切开挂线对口引流术对高位复杂性肛瘘患者术后肛门括约肌功能及生活质量的影响  

Effects of Incision and Hanging Wire-to-port Drainage on Postoperative Anal Sphincter Function and Quality of Life in Patients with High-grade Complex Anal Fistula

作　　者：徐迎迅 徐迎春 XU Yingxun;XU Yingchun(Department of Anorectal Medicine,Affiliated Hospital of Heze Medical College,Heze,Shandong Province,274000 China;Department of General Surgery,Juye County Hospital of Traditional Chinese Medicine,Heze,Shandong Province,274900 China)

机构地区：[1]菏泽医学专科学校附属医院肛肠科,山东菏泽274000 [2]巨野县中医医院普外科,山东菏泽274900

出　　处：《世界复合医学》2022年第11期38-41,共4页World Journal of Complex Medicine

摘　　要：目的研究切开挂线对口引流术对高位复杂性肛瘘患者术后肛门括约肌功能及生活质量的影响。方法选取菏泽医学专科学校附属医院2019年6月—2020年6月收治的98例高位复杂性肛瘘患者作为研究对象,将其均分为观察组(切开挂线对口引流术;n=49)与对照组(常规切开挂线法;n=49);采用生活质量综合评定问卷(GQOLI-74)对患者的生活质量进行评估,采用视觉模拟评分法(VAS)评估患者的疼痛程度,对比两组患者的治疗效果。结果观察组GQOLI-74评分显著高于对照组,差异有统计学意义(P<0.05);观察组术后14 d的VAS评分为(3.16±0.54)分,显著低于对照组的(4.82±0.73)分,差异有统计学意义(t=12.797,P<0.05);观察组的直肠静息压(1.51±0.39)mmHg,显著高于对照组的(1.28±0.59)mmHg,差异有统计学意义(t=2.276,P<0.05);观察组的肛管静息压(10.51±1.39)mmHg,显著高于对照组的(7.26±1.19)mmHg,差异有统计学意义(P<0.05);观察组的肛管最大收缩压(16.21±0.38)mmHg明显高于对照组的(11.94±0.13)mmHg,差异有统计学意义(P<0.05);观察组的创面愈合时间、住院时间,明显短于对照组,差异有统计学意义(P<0.05);观察组临床有效率97.96%显著高于对照组81.63%,差异有统计学意义(χ^(2)=7.127,P<0.05)。结论将切开挂线对口引流术应用于高位复杂性肛瘘患者的临床效果显著,能够有效保留患者的肛门括约肌功能,有利于提高患者的生活质量,有较高的临床应用价值。Objective To study the effects of incisional hanging wire-to-port drainage on the postoperative anal sphincter function and quality of life of patients with high complex anal fistula.Methods A total of 98 patients with high complex anal fistula admitted to the Affiliated Hospital of Heze Medical College from June 2019 to June 2020 were selected as the study subjects,and they were divided into observation group(incision and hanging line counter-oral drainage;n=49)and control group(conventional incision and hanging line method;n=49).The patients'quality of life was assessed using the General Quality of Life Assessment Questionnaire(GQOLI-74),and the patients'pain level was assessed using the Visual Analogue Scale(VAS),and the treatment effects of the two groups were compared.Results The GQOLI-74 score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The VAS score of the observation group at 14 days after operation was(3.16±0.54)points,which was significantly lower than that of the control group(4.82±0.73)points,and the difference was statistically significant(t=12.797,P<0.05);the rectal resting pressure of the observation group(1.51±0.39)mmHg was significantly higher than that of the control group(1.28±0.59)mmHg,and the difference was statistically significant(t=2.276,P<0.05).The anal resting pressure of the observation group was(10.51±1.39)mmHg,which was significantly higher than that of the control group(7.26±1.19)mmHg,and the difference was statistically significant(P<0.05).The maximum systolic pressure of anal canal in the observation group(16.21±0.38)mmHg was significantly higher than that in the control group(11.94±0.13)mmHg,and the difference was statistically significant(P<0.05).The wound healing time and hospitalization time of the observation group were significantly shorter than those of the control group,the difference was statistically significant(P<0.05).The clinical effective rate of 97.96%in the observat

关 键 词：切开挂线对口引流术 高位复杂性肛瘘 肛门括约肌功能 生活质量 

分 类 号：R657.16[医药卫生—外科学]