摘要
目的:探讨不同引流切口大小在复杂性肛瘘治疗中的效果。方法:选取2020年7月—2021年6月乐山市人民医院收治的80例复杂性肛瘘患者,采用随机数字表法分为观察组和对照组各40例。对照组采用切开挂线,对口引流为小切口疗法治疗;观察组采用切开挂线,对口引流为大切口疗法治疗。对比两组患者的手术时间、术后分泌物、引流条拆除时间、伤口愈合及住院时间、疼痛及复发率等指标。结果:两组手术时间比较,观察组短于对照组,差异有统计学意义(P<0.05)。术后第1天、第3天,观察组患者的疼痛评分均低于对照组,差异有统计学意义(P<0.05);但两组术后第7天比较,差异无统计学意义(P>0.05)。两组患者术后第1天、第3天、第5天、第7天分泌物比较,其中术后第1天及术后第3天,两组患者伤口分泌物比较,差异无统计学意义(P>0.05);术后第5天观察组伤口分泌物多于对照组,差异有统计学意义(P<0.05);术后第7天观察组伤口分泌物少于对照组,差异有统计学意义(P<0.05)。当两组患者切口分泌物明显减少时,拆除浮线引流条,观察组患者拆除引流条时间短于对照组,差异有统计学意义(P<0.05)。随访6月,观察组复发率(2.50%)低于对照组(20.00%),差异有统计学意义(P<0.05)。两组患者术后并发症比较,差异无统计学意义(P>0.05)。结论:相较于对口引流为小切口疗法,大切口疗法效果较好,能够明显降低复杂性肛瘘的复发率。
Objective To investigate the effect of different drainage incision sizes in the treatment of complex anal fistula.Methods 80 patients with complex anal fistula admitted to Leshan People's Hospital from July 2020 to June 2021 were randomly divided into the observation group and the control group with 40 cases each.The control group was treated with incision and thread drawing,and small incision drainage;The observation group was treated by incision and thread drawing,and counterpart drainage as large incision therapy.The operation time,postoperative secretion,drainage strip removal time,wound healing and hospitalization time,pain and recurrence rate of the two groups were compared.Results The operation time of the observation group was shorter than that of the control group(P<0.05).On the 1st and 3rd day after operation,the pain scores of patients in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05);However,there was no significant difference between the two groups on the 7th day after operation(P>0.05).There was no significant difference between the two groups on the first,third,fifth,and seventh day after surgery in terms of wound secretion(P>0.05);On the 5th day after operation,the wound secretion in the observation group was more than that in the control group,with a statistically significant difference(P<0.05);On the 7th day after operation,the wound secretion of the observation group was less than that of the control group,with a statistically significant difference(P<0.05).When the incision secretion of the patients in the two groups was significantly reduced,the floating line drainage strip was removed.The time for the patients in the observation group to remove the drainage strip was shorter than that in the control group,and the difference was statistically significant(P<0.05).Follow up for 6 months,the recurrence rate in the observation group(2.50%)was lower than that in the control group(20.00%),with a statistically significant differen
作者
沈庆波
冯欣
裴熹
陈丽娜
雷银福
SHEN Qingbo;FENG Xin;PEI Xi;CHEN lina;LEI Yinfu(People’s Hospital of Leshan,Leshan,Sichuan 614000,China)
出处
《医药前沿》
2022年第24期14-16,19,共4页
Journal of Frontiers of Medicine
基金
乐山市科技计划项目《肛瘘复发率与对口引流切口长度的关系研究》(20SZD073)。
关键词
复杂性肛瘘
复发率
对口引流
Complex anal fistula
Recurrence rate
Contralateral drainage
