摘要
目的:探讨挂实线术结合瘘管部分切开术治疗肛周脓肿并肛瘘患者的效果及对肛门功能的影响。方法:选取2016年1月-2018年12月本院收治的肛周脓肿并肛瘘患者89例,按随机数字表法分为对照组(n=44)与观察组(n=45)。对照组进行瘘管部分切开术治疗,观察组进行挂实线术结合瘘管部分切开术治疗。随访6个月,比较两组术后恢复情况、创面愈合情况、肛门功能、术后并发症发生及血清C反应蛋白(CRP)和激活素A(ACTA)水平。结果:观察组术后1周疼痛评分与术后1个月肛门失禁评分均低于对照组(P<0.05);观察组切口愈合、总住院、创面愈合及创面腐肉消除时间均短于对照组,而创面缩小率高于对照组(P<0.05);观察组术后1个月肛门功能异常率低于对照组(P<0.05);观察组术后1个月并发症发生率及术后6个月复发率均低于对照组(P<0.05);观察组术后1个月CRP与ACTA水平均低于对照组(P<0.05)。结论:挂实线术结合瘘管部分切开术可促进肛周脓肿并肛瘘患者术后恢复、改善肛门功能,降低术后炎症反应及并发症的发生。
Objective:To investigate the effect of solid thread hanging combined with partial fistula incision in the treatment of perianal abscess complicated with anal fistula and its influence on anal function.Method:A total of 89 patients with perianal abscess complicated with anal fistula admitted to our hospital from January 2016 to December 2018 were selected.They were divided into control group (n=44) and observation group (n=45) according to the random number table method.The control group was treated with partial fistula incision,while the observation group was treated with solid thread hanging combined with partial fistula incision.After 6 months of follow-up,the recovery,wound healing,anal function,complications and serum C-reactive protein (CRP) and activin A (ACTA) levels were compared between the two groups.Result:The pain score at 1 week after operation and the score of anal incontinence at 1 month after operation of the observation group were lower than those of the control group (P<0.05).Wound healing,total hospitalization,wound healing and wound carrion removal time in the observation group were lower than those in the control group,while the wound reduction rate in the observation group was higher than that in the control group (P<0.05).The abnormal rate of anus function at 1 month after operation in the observation group was lower than that in the control group (P<0.05).The incidence of complications at 1 month after operation and recurrence rate at 6 months after operation in the observation group were lower than those in the control group (P<0.05).CRP and ACTA levels at 1 month after operation in the observation group were lower than those in the control group (P<0.05).Conclusion:Solid thread hanging combined with partial fistula incision can promote the recovery of patients with perianal abscess and anal fistula after operation,improve anal function,and reduce the incidence of inflammatory reaction and complications after operation.
作者
温丽娟
WEN Lijuan(Second People’s Hospital of Longhu District,Shantou 515041,China)
出处
《中国医学创新》
CAS
2020年第3期40-43,共4页
Medical Innovation of China
关键词
挂实线术
瘘管部分切开术
肛周脓肿并肛瘘
肛门功能
Solid thread hanging
Partial fistula incision
Perianal abscess with anal fistula
Anal function
