摘要
目的:分析挂实线术联合瘘管部分切开术治疗肛周脓肿并肛瘘的临床效果.方法:2017年12月-2018年12月收治肛周脓肿并肛瘘患者68例,随机分为两组,各34例.对照组采用瘘管部分切开术治疗;研究组采用挂实线术联合瘘管部分切开术治疗.比较两组手术效果.结果:研究组术后疼痛评分、肛门失禁能力评分、切口完全愈合时间、住院时间均低于对照组,差异有统计学意义(P<0.05).研究组术后20 d并发症发生率低于对照组,术后30 d肛门功能恢复情况优于对照组,出院后6个月后肛糜形成率低于对照组,差异均有统计学意义(P<0.05).结论:挂实线术联合瘘管部分切开术治疗肛周脓肿并肛瘘患者效果显著.
Objective:To explore the clinical effect of hanging solid line combined with partial fistulotomy in the treatment of perianal abscess with anal fistula.Methods:From December 2017 to December 2018,68 patients with perianal abscess and anal fistula were selected and randomly divided into two groups of 34 cases in each.The control group was treated with partial fistulotomy;the study group was treated with hanging solid line combined with partial fistulotomy.We compared the results of the two groups.Results:In the study group,the scores of postoperative pain and anal incontinence,incision healing time and hospitalization time were lower than those in the control group,the difference was statistically significant(P<0.05).In the study group,the incidence of complications was lower than that of the control group at 20 days postoperatively,the recovery of anal function at 30 days postoperatively was better than that of the control group,and the rate of anal chyle formation at 6 months postdischarge was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical effect of hanging solid line combined with partial fistulotomy in the treatment of perianal abscess with anal fistula is significant.
作者
张云峰
Zhang Yunfeng(The First Surgery,the People's Hospital of Honghe County,Honghe Prefecture,Yunnan Province,Yunnan Honghe 654400)
出处
《中国社区医师》
2020年第8期81-82,共2页
Chinese Community Doctors
关键词
挂实线术
瘘管部分切开术
肛周脓肿
肛瘘
Hanging solid line
Partial fistulotomy
Perianal abscess
Anal fistula
