摘要
目的探讨多切口引流术治疗马蹄形肛瘘的临床应用价值。方法采用多切口引流术治疗马蹄形肛瘘50例为治疗组,对照组为同期切口挂线术治疗患者42例。观察两组手术时间、术后创面出血情况、术后疼痛、创面愈合时间、肛门瘢痕大小、肛门畸形、肛门功能状况以及术后复发情况。结果治疗组与对照组比较,治疗组手术时间、术中及术后渗血时间、术后疼痛持续时间、创面愈合时间皆缩短;肛门瘢痕大小、肛门畸形发生率低;肛门部分失禁发生率低。在术后复发发生率方面比较两组之间差异无统计学意义。结论多切口引流术治疗马蹄形肛瘘比切开挂线术效果好,值得临床进一步探讨。
Objective To discuss the clinical application value of multi-incision drainage in the treatment of horseshoe-form fistula. Methods 50 cases with horseshoe-form fistula in treatment group received multi-incision drainage while 42 cases with horseshoe-form fistula in control group received incision and thread drawing therapy; an observation was made to operation time length, wound bleeding after operation, pain, wound healing, anal scar size, anal malformation, anal function and reoccurrance in both groups. Results The time length of operation, of errhysis in operation and after operation, of pain lasting and of wound healing in treatment group were shorter than those in control group and the scar size was smaller; the occurrence of anal malformation and the occurrence of partial fecal inconti- nence in treatment group were lower than those in control group; there existed no statistical difference in reoccurrence between the 2 groups. Conclusions Multi-incision drainage is of better effect on horseshoe-form fistula than incision and thread drawing therapy and worthy of further clinical study.
出处
《西南军医》
2013年第1期3-5,共3页
Journal of Military Surgeon in Southwest China
关键词
马蹄形肛瘘
多切口引流术
切口挂线术
horseshoe-form fistula multi-incision drainage thread drawing therapy
