探讨肛瘘及肛周脓肿合并糖尿病的临床研究.docVIP

精品论文 参考文献 探讨肛瘘及肛周脓肿合并糖尿病的临床研究 黑龙江省齐齐哈尔第二医院 161006 【摘 要】目的 探讨并研究手术治疗肛瘘、肛周脓肿合并糖尿病（DM）的可行性与有效性。方法 此次研究的对象是选取2013年1月—2015年10月期间，该院普外科收治的肛瘘、肛周脓肿患者222例，其中，根据疾病类型分组：单纯肛瘘组62例，单纯肛周脓肿组69例，肛瘘合并DM组40例，肛周脓肿合并DM组51例。4组均接受外科手术治疗，比较4组患者的手术治疗效果。结果 肛瘘合并DM组、肛周脓肿合并DM组的治疗治愈率分别为82.50%、84.31%，均显著低于单纯肛瘘组、单纯肛周脓肿组的96.77%、95.65%（Plt;0.05）；肛瘘合并DM组、肛周脓肿合并DM组的创面渗液时间及创面愈合时间均显著长于单纯肛瘘组、单纯肛周脓肿组（Plt;0.05），且随着创面纵径的增大，创面渗液时间及创面愈合时间呈显著延长趋势（Plt;0.05）。结论 DM对肛瘘及肛周脓肿患者的手术治疗效果存在明显影响，完善饮食及康复指导＼积极控制患者的血糖水平有利于以促进创面愈合，改善临床疗效。 　　【关键词】糖尿病；肛瘘；肛周脓肿；手术；临床疗效 　　[Abstract] Objective To investigate and study the surgical treatment of anal fistula and perianal abscess with diabetes mellitus（DM）is feasible and effective. Methods the research object is selected in January 2013 - October 2015，222 patients in the Department of general surgery of the Academy of anal fistula，anus week abscess patients. Among them，grouped according to the type of disease：simple anal fistula group 62 cases，simple anus week abscess group 69 cases，anal fistula complicated with DM group 40 cases，perianal abscess complicated with DM group 51 cases. 4 groups were received surgical treatment，compared with the 4 groups of patients with surgical treatment. Results treatment of anal fistula complicated with DM group and perianal abscess with DM group cure rate was 82.50%，84.31%，significantly lower than that of the simple anal fistula group，simple anal abscess was 96.77%，95.65%（P lt; 0.05）；anal fistula complicated with DM group，perianal abscess with DM group wound infiltration fluid time and wound healing time were significantly longer than those of simple anal fistula group，simple perianal abscess group（P lt; 0.05）and increases as the size of the wound longitudinal，oozing from the wound surface fluid time and wound healing time was significantly prolonged（P lt; 0.05）. Conclusions DM on patients with perianal abscess and anal fistula surgical treatment has obvious effect，improve diet and rehabilitation guidance，to actively control the blood glucose lev