改良俯卧折刀位在马蹄形肛瘘术中的应用  

Application of modified prone folding knife position inmulti-incision tube dragging in horseshoe anal fistula surgery

作　　者：刘丽[1] 蔡云霞[1] 万丽萍 LIU Li;CAI Yunxia;WAN Liping(Ganzhou People′s Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《华夏医学》2023年第6期155-159,共5页Acta Medicinae Sinica

基　　金：江西省中医药管理局科技计划项目(2022B492)。

摘　　要：目的:探讨改良俯卧折刀位在多切口拖管术联合中医挂线应用于马蹄形肛瘘手术中的效果。方法:选择60例马蹄形肛瘘患者,按照随机数字表法分为两组,每组30例。两组均进行多切口拖管术联合中医挂线治疗,对照组以截石位进行手术,观察组以改良俯卧折刀位进行手术。比较两组术中生命体征、体位摆放时间、手术满意度与体位不良反应发生情况。结果:两组术中生命体征比较,差异无统计学意义(P>0.05)。观察组体位摆放时间短于对照组,满意度高于对照组,手术体位不良反应发生率低于对照组,以上差异均有统计学意义(P<0.05)。结论:多切口拖管术联合中医挂线在马蹄形肛瘘手术中应用改良俯卧折刀位效果确切,体位摆放时间短,患者满意度高,且不会对术中生命体征造成不良影响。Objective:To explore the application of modified prone folding knife position in multi-incision tube dragging combined with traditional Chinese medicine hanging thread in horseshoe anal fistula surgery.Methods:60 patients with horseshoe anal fistula were selected into two groups using a random number table method,with 30 cases in each group.Both groups were underwent multi-incision tube dragging surgery combined with traditional Chinese medicine thread hanging treatment.The control group were undergoing surgery in the lithotomy position,while the observation group were undergoing surgery in the improved prone folding knife position.The intraoperative vital signs,posture placement time,surgical satisfaction,and occurrence of posture adverse reactions were compared between two groups.Results:There was no statistically significant difference in intraoperative vital signs between the two groups(P>0.05).The observation group had shorter posture placement time and higher satisfaction than those of the control group.The incidence of adverse reactions to surgical posture was lower in the observation group than that of the control group,with statistically significant differences(P<0.05).Conclusion:The application of modified prone folding knife position in horseshoe anal fistula surgery with multi-incision tube dragging combined with traditional Chinese medicine hanging thread has a good effect,with shorter positioning time,higher patient satisfaction,and no adverse effects on intraoperative vital signs.

关 键 词：马蹄形肛瘘手术 改良俯卧折刀位 多切口拖管术 中医挂线 

分 类 号：R473.6[医药卫生—护理学]