摘要
目的探讨内口切开切口延长黏膜结扎术治疗直肠黏膜下脓肿的疗效。方法64例直肠黏膜下脓肿患者,治疗组36例,采用内口切开切口延长黏膜结扎术治疗;对照组28例,采用传统的直肠黏膜下脓肿切开排脓术治疗;比较两组疗效、住院时间、愈合时间、并发症及复发等指标。结果治疗组36例(100%)全部治愈,对照组11例(39.29%)治愈;术后随访2年,治疗组无复发病例,对照组8例(72.73%)复发;两组治愈及复发率比较,差异有显著性(P<0.01)。两组住院时间、愈合时间及恢复工作时间差异无显著性(P>0.05)。两组均未发现肛门狭窄、肛门失禁、排便困难等并发症。结论内口切开切口延长黏膜结扎术治疗直肠黏膜下脓肿疗效肯定,无明显并发症及后遗症,亦无复发。
Objective To investigate the curative effect of internal opening and rectum submucosa ligation on abscess of rectum submucosa. Methods Radical resection of 64 cases of abscess of rectum submucosa were analysed retrospectively, 36 cases in treatment group were cured by internal opening and rectum submucosa ligation, 28 cases in control group were by traditional method of dissection of abscess rectum submucosa and drainage. The curative effect, average hospitalization duration, recovery time, complications and recurrence rates between two groups were compared. Results Thirty-six cases（100%） in treatment group and 11 cases（39. 29%） in control group were cured; during 2 years of follow up period, there was no recurrent cases in treatment group and there were 8 cases （72. 73%） in control group; there were significant difference in the curative rate and recurrent rate between two groups（P〈0. 01）; there were no difference in the hospitalization duration, recovery time, work recovery time between two groups（P〉0. 05）. Two groups were without complications, such as anal stenosis, fecal incontinence, difficulty in defecation. Conclusion Internal opening and rectum submucosa ligation can effectively cure abscess of rectum submucosa without any complication, sequelae and recurrence.
出处
《中国感染控制杂志》
CAS
2008年第3期177-178,176,共3页
Chinese Journal of Infection Control
关键词
直肠黏膜下脓肿
手术治疗
治疗方法
abscess of rectum submucosa
operative treatment
treatment method
