低位切开联合定向挂线法治疗高位复杂性肛瘘的疗效观察.docVIP

精品论文 参考文献 低位切开联合定向挂线法治疗高位复杂性肛瘘的疗效观察 （湖南千金湘江药业股份有限公司 湖南株洲 412000） 　　【摘要】目的：总结低位切开联合定向挂线治疗高位复杂肛瘘的体会。方法：136例高位复杂肛瘘患者，采用随机抽签方法分为两组，A组71例，采用低位切开加定向挂线治疗。B组65例，采用传统挂线治疗。比较两组肛瘘治愈率，切口愈合时间，术后疼痛评分，肛门功能评分。结果：低位切开联合定向挂线法的方式和传统挂线法相比具有显著优势，治愈率高达92.96%，较B组的80.00%差异显著，具有统计学意义（Plt;0.05）；A组患者创面愈合快，更好的恢复肛门功能、减轻疼痛、降低肛管畸形的概率，两组患者的结果差异显著，具有统计学意义（Plt;0.05）。在低位切开联合定向挂线法的治疗下，肛管最大收缩压等得到良好的恢复，最大程度提高肛门恢复速度，且对降低患者的肛门处胀痛、下坠痛以及控制并发症的发生等具有显著优势，差异具有统计学意义（Plt;0.05）。结论：高位复杂性肛瘘的治疗方式多种多样，综合治疗效果、创伤、并发症、愈合情况等方面，低位切开联合定向挂线法非常具有竞争力，可向临床推荐。 　　【关键词】低位切开联合定向挂线法；高位肛瘘；疼痛；肛门括约功能 　　【中图分类号】R657.1+6 【文献标识码】A 【文章编号】1007-8231（2016）11-0123-03 　　To observe the curative effect of low incision combined with directional hanging line for high complex anal fistula 　　【Abstract】Objective To summarize the effect of low incision combined with directional hanging line for high complex anal fistula. Methods 136 cases were divided into two groups, A group 71 cases, with low incision combined with directional hanging line. B group of 65 cases, with traditional. Comparison of two groups of anal fistula cure rate, wound healing time, postoperative pain score, anal function score. Results A cure rate was as high as 92.96%, there was significant difference between B, with statistical significance (Plt;0.05); A patients healed faster, better recovery of anal function, and so on, there were significant differences, with statistical significance (Plt;0.05). In low incision combined with directional hanging line, reduced the patients pain, anal straining pain, the difference had statistical significance (Plt;0.05). Conclusion Low incision combined with directional hanging method is very competitive. 　　【Key words】Low incision combined with directional hanging line method; High anal fistula; Pain; Anal sphincter function 　　高位复杂性肛瘘是肛肠科非常难治的疾病之一，且对身体有巨大伤害，其一为患者的身体和心理的伤害，其二为家属的痛苦[1]。挂线法是中医的伟大发明，体现中国古老医学的精明、慧智，挂线法不仅能够明显降低组织损伤，对肛瘘的去除、疾病的恢复、组织的损伤等均非常好[2]。但传统方法存在高并发症、高复发等不良情况，急需改进，低位切开联合定向挂线法是经过改良、优化等处理过的方法[3]，