摘要
目的探讨不同手术入路对于骶前囊肿切除的影响及临床应用价值。方法选取2018年1月至2022年6月87例骶前囊肿患者作为研究对象,均行骶前囊肿切除术。根据手术入路不同分为两组,观察组(n=45例)采用经会阴入路,对照组(n=42例)采用经骶尾入路。应用SPSS 25.0统计分析数据。围手术期指标、肛门功能评分量表(Wexner)等计量资料用(χ±s)表示,行独立样本t检验;术后并发症等计数资料比较行χ^(2)检验,等级计数资料比较行秩和检验。P<0.05为差异有统计学意义。结果观察组患者手术时间、术中出血量及骶骨切除例数均优于对照组(P<0.05);观察组患者术后3个月、6个月Wexner评分均低于对照组(P<0.05);两组患者Williams分级、并发症总发生率、复发率比较,差异无统计学意义(P>0.05)。结论经会阴入路行骶前囊肿切除术更利于手术操作,能有效减少手术出血,保护肛门功能,尤其适用于高位骶前囊肿切除,值得在临床推广。
Objective To investigate the effect of different surgical approaches on excision of anterior sacral cyst and its clinical application.MethodsA total of 87 patients with anterior sacral cysts from January 2018 to June 2022 were selected as the study subjects,all of whom underwent excision of anterior sacral cysts.They were divided into two groups according to different surgical approaches.The observation group(n=45 cases)took the transperineal approach,and the control group(n=42 cases)took the transsacrococcygeal approach.SPSS 25.0 was used for statistical analysis.Measurement data such as perioperative indexes and anal function Score Scale(Wexner)were represented with(χ±s),and independent sample t test was performed.X test was performed for postoperative complications and rank sum test was performed for grade counts.P<0.05 was considered statistically significant.Results The operation time,intraoperative blood loss and sacral excision cases in observation group were better than those in control group(P<0.05).Wexner scores in observation group were lower than those in control group at 3 months and 6 months after operation(P<0.05).There was no significant difference in Williams classification,total complication rate and recurrence rate between 2 groups(P>0.05).Conclusion Perineal approach to anterior sacral cyst excision is more conducive to surgical operation,can effectively reduce surgical bleeding,protect anal function,especially suitable for excision of high anterior sacral cyst,worthy of clinical promotion.
作者
黄建
胡安丽
王建平
Huang Jian;Hu Ani;Wang Jianping(Department of Anorectal Surgery,Affiliated Hospital of Chengdu University,Chengdu Sichuan Province 610081,China)
出处
《中华普外科手术学杂志（电子版）》
2024年第6期683-686,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
2022年成都市医学科研课题(2022592)。
关键词
骶前囊肿
骶前囊肿切除术
经骶尾入路
经会阴入路
Presacral Cysts
Excision of Anterior Sacral Cyst
Transsacrococcygeal Approach
Via Perineal Approach
