摘要
目的分析一次性根治术与切开挂线术治疗腺源性肛瘘的临床效果。方法60例腺源性肛瘘患者,随机分为对照组与实验组,各30例。对照组患者选择切开挂线术治疗,实验组患者选择一次性根治术治疗。对比两组患者治疗效果及焦虑自评量表(SAS)、抑郁自评量表(SDS)、数字评价量表(NRS)评分。结果实验组患者SDS、SAS、NRS评分分别为(46.23±6.62)、(45.88±5.96)、(3.56±0.68)分,均低于对照组的(61.85±3.25)、(60.47±4.59)、(6.29±0.84)分,差异具有统计学意义(P<0.05)。实验组患者治疗总有效率93.33%明显高于对照组的73.33%,差异有统计学意义(P<0.05)。结论对腺源性肛瘘患者选择一次性根治手术治疗,不仅能提升治疗效果,同时还能够降低手术后的疼痛感,改善患者的不良情绪,具有推广价值。
Objective To analyze the clinical effect of one-time radical resection versus incisionthread-drawing procedure on patients with adenogenic anal fistula.Methods A total of 60 patients with adenogenic anal fistula were randomly divided into a control group and an experimental group,with 30 patients in each group.Patients in the control group were treated by incision-thread-drawing procedure,and patients in the experimental group were treated by one-time radical resection.The therapeutic effect and self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and numerical rating scale(NRS)score of the two groups were compared.Results The SDS,SAS,and NRS scores of patients in the experimental group were(46.23±6.62),(45.88±5.96),and(3.56±0.68)points,which were lower than(61.85±3.25),(60.47±4.59),and(6.29±0.84)points in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment for patients in the experimental group was 93.33%,which was significantly higher than 73.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion The choice of one-time radical resection for patients with adenogenic anal fistula can not only enhance the therapeutic effect,but also reduce post-surgical pain and improve patients'adverse emotions,which has the value of promotion.
作者
李树平
LI Shu-ping(Department of Anal and Intestinal Surgery,Yutai County People's Hospital,Jining 272300,China)
出处
《中国现代药物应用》
2023年第2期70-72,共3页
Chinese Journal of Modern Drug Application
关键词
腺源性肛瘘
一次性根治术
切开挂线术
肛门疾病
Adenogenic anal fistula
One-time radical resection
Incision-thread-drawing procedure
Anus diseases
