高位虚挂线联合脓腔最顶端置管引流对高位肛周脓肿切除术患者的效果  

Effect of High Level Virtual Hanging Line Combined with Catheter Drainage at the Top of Pus Cavity on Patients with High Perianal Abscess Resection

作　　者：耿彬 GENG Bin(Xuzhou Tongshan District Hospital of Traditional Chinese Medicine,Xuzhou 221116,China)

机构地区：[1]徐州市铜山区中医院,江苏徐州221116

出　　处：《中外医学研究》2024年第12期132-135,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究高位虚挂线联合脓腔最顶端置管引流对高位肛周脓肿(high perianal abscess,HPA)切除术患者的效果。方法:选取2019年9月—2023年5月徐州市铜山区中医院肛肠科收治的70例HPA切除术患者作为研究对象,将其以电脑编号随机法分为A组(高位虚挂线联合脓腔最顶端置管引流治疗,n=35)与B组(切开挂线治疗,n=35)。对比两组围手术期指标、肛门功能、疼痛程度及术后并发症。结果:A组术中出血量少于B组,且创面愈合时间及住院天数短于B组,差异有统计学意义(P<0.05)。术后60 d,两组肛管静息压及最大收缩压低于术前1 d,但A组高于B组,差异有统计学意义(P<0.05)。术后3 d,两组各项血清疼痛因子水平高于术前1 d,但A组低于B组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:高位虚挂线联合脓腔最顶端置管引流可促进HPA切除术患者康复,减轻对肛门功能与疼痛的影响。Objective:To investigate the effect of high level virtual hanging line combined with catheter drainage at the top of pus cavity on high level perianal abscess(HPA)resection.Method:A total of 70 patients with HPA resection who admitted to the Anorectal Department of Xuzhou Tongshan District Hospital of Traditional Chinese Medicine from September 2019 to May 2023 were selected as the study objects,they were divided into group A(high level virtual hanging line combined with catheter drainage at the top of pus cavity treatment,n=35)and group B(incision hanging line treatment,n=35)by computer numbering method.The perioperative indexes,anal function,pain degree and postoperative complications were compared between two groups.Result:The intraoperative blood loss in group A was less than that in group B,and the wound healing time and hospitalization days were shorter than those in group B,the differences were statistically significant(P<0.05).At 60 d after surgery,the resting pressure and maximum systolic pressure of anal canal in two groups were lower than those at 1 d before surgery,but which in group A were higher than those in group B,the differences were statistically significant(P<0.05).At 3 d after surgery,the levels of serum pain factors in two groups were higher than those at 1 d before surgery,but the levels in group A were lower than those in group B,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between two groups(P>0.05).Conclusion:High level virtual hanging line combined with catheter drainage at the top of pus cavity can promote the recovery of patients with HPA resection,and reduce the impact on anal function and pain.

关 键 词：高位肛周脓肿切除术 高位虚挂线 置管引流 肛门功能 疼痛程度 

分 类 号：R657.15[医药卫生—外科学]