本文選題：潛行剝離瘺管 + 內(nèi)口掛線��； 參考：《川北醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:通過與低位切開縫合高位掛線術(shù)的對比研究,探討潛行剝離瘺管并內(nèi)口掛線術(shù)治療高位復(fù)雜性肛瘺的臨床療效。方法:選取臨床確診高位復(fù)雜性肛瘺40例,隨機(jī)分成實(shí)驗(yàn)組和對照組各20例。實(shí)驗(yàn)組采用潛行剝離瘺管并內(nèi)口掛線術(shù),對照組采用低位切開縫合高位掛線術(shù),比較觀察兩組在治愈率、復(fù)發(fā)率、愈合時間、肛管直腸壓力、術(shù)后并發(fā)癥方面的差異。結(jié)果:兩組均治愈,治愈率均為100%,術(shù)后隨訪均無復(fù)發(fā),復(fù)發(fā)率均為0%,兩組病例在治愈率、復(fù)發(fā)率方面比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。在術(shù)后排尿情況、感染、創(chuàng)面愈合時間、肛門失禁、術(shù)后第12天疼痛方面比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。在術(shù)后第1天、第7天疼痛有顯著性差異(P0.05)。兩組直腸靜息壓、肛管靜息壓、肛管最大收縮壓均差異有統(tǒng)計(jì)學(xué)意義(P0.05),實(shí)驗(yàn)組優(yōu)于對照組。結(jié)論:潛行剝離瘺管并內(nèi)口掛線術(shù)治療高位復(fù)雜性肛瘺與低位切開縫合高位掛線術(shù)相比,治愈率相同,但術(shù)后疼痛輕,在維持肛管直腸壓力及保護(hù)肛管直腸肌肉方面具有優(yōu)勢。
[Abstract]:Objective: To explore the clinical effect of the treatment of high complex anal fistula with latent exfoliation fistula and internal mouth hanging through comparative study of low incision suture and suture. Method: 40 cases of high complex anal fistula were selected and divided into experimental group and 20 cases in control group. The results were compared between the two groups in the cure rate, the recurrence rate, the healing time, the anorectal pressure and the postoperative complications. Results: the two groups were all cured, the cure rate was 100%, no recurrence after the operation, the recurrence rate was 0%, the two groups of cases in the cure rate, the recurrence rate of the difference was not statistically different statistics. P0.05. There was no significant difference in postoperative urination, infection, wound healing time, anus incontinence, and twelfth days after operation (P0.05). There were significant differences in pain (P0.05) at the first day after operation (P0.05). The difference between the two groups of rectal resting pressure, anus resting pressure and the maximum systolic pressure of anal canal was statistically significant (P0.05). The treatment group was superior to the control group. Conclusion: the cure rate of high complex anal fistula with low incision suture and suture is the same, but the postoperative pain is light, and it has advantages in maintaining anorectal pressure and protecting anal canal and rectum.

【學(xué)位授予單位】：川北醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R657.16

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