內(nèi)口切閉聯(lián)合瘺道潛行刨削術(shù)治療肛瘺臨床研究
發(fā)布時(shí)間:2018-03-08 02:11
本文選題:肛瘺 切入點(diǎn):閉合內(nèi)口 出處:《中華中醫(yī)藥雜志》2017年01期 論文類型:期刊論文
【摘要】:目的:觀察內(nèi)口切閉聯(lián)合瘺道潛行刨削術(shù)治療肛瘺的臨床療效。方法:選取49例肛瘺患者隨機(jī)分為觀察組和對(duì)照組,觀察組(24例)采用內(nèi)口切閉聯(lián)合瘺道潛行刨削術(shù)治療,對(duì)照組(25例)采用傳統(tǒng)切開(kāi)/除術(shù)或切開(kāi)掛線術(shù)治療。結(jié)果:觀察組與對(duì)照組在治愈率、復(fù)發(fā)率、總療效上無(wú)顯著性差異。但觀察組患者術(shù)后疼痛程度、肛門(mén)形態(tài)及功能、愈合時(shí)間、創(chuàng)面分泌物情況等均優(yōu)于對(duì)照組(P0.05,P0.01)。結(jié)論:采用內(nèi)口切閉聯(lián)合瘺道潛行刨削術(shù)治療肛瘺療效確切,可減輕痛苦、保護(hù)肛門(mén)功能及縮短療程。
[Abstract]:Objective: to observe the clinical effect of internal ostium closure combined with latent planning for anal fistula. Methods: 49 cases of anal fistula were randomly divided into observation group and control group, 24 cases in observation group) were treated by internal ostium closure combined with latent planning of fistula, 49 cases of anal fistula were randomly divided into observation group and control group (n = 24). Results: there was no significant difference in cure rate, recurrence rate and total curative effect between the observation group and the control group. The healing time and wound secretion were better than that of the control group (P 0.05 and P 0.01). Conclusion: it is effective to treat anal fistula by internal incision and closure combined with latent planning of fistula, which can alleviate pain, protect anal function and shorten the course of treatment.
【作者單位】: 南京中醫(yī)藥大學(xué);南京中醫(yī)藥大學(xué)第三附屬醫(yī)院;
【分類號(hào)】:R657.16
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