微创小切口挂线旷置术治疗高位肛瘘临床观察.docVIP

微创小切口挂线旷置术治疗高位肛瘘临床观察 摘要：目的微创小切口挂线旷置术治疗高位肛瘘临床观察。方法本 文选取100例高位肛瘘患者，随机划分两组，对照组采用传统术式疗法， 治疗组采用微创小切口挂线旷置术疗法，多个外门的高位肛瘘采用外门间 挂浮线引流，对比两组的住院时间、术后疼痛积分大小、创面瘢痕宽度等 指标大小。结果治疗组的肛管静息压、最火收缩压指标大小是(8. 64土 0.22) mmHg、(15. 38士 1.36) mmHg,对照组的肛管静息压、最大收缩压指 标大小是(5. 73±0. 63) mmHg、(12. 24±1.07) mmHg,两组结果对比具有 统计学意义。结论实施微创小切门挂线旷置术及瘘门间挂浮线治疗后， 高位肛瘘患者的病情有效控制，缩短患者的住院时间，降低术后疼痛反应， 减少患者的创面瘢痕宽度大小，提升临床功效，生存质量得到明显改善和 提升。 关键调：微创小切U;挂线日」置术；瘦U间挂浮线尚位肛瘦；临床 疗效 Clinical Observation of Minimally Invasive Incision Threaddrawing Exclusion Treatment of High Anal Fistula DU Jun, PU De-fu (Xichong County People’s Hospital, Nanchong 637200，Sichuan, China) Abstract： Objective Invasive surgery threaddrawing exclusion high anal fistula clinical observation and treatment. Methods One hundred cases of high anal fistula patients were randomly divided into two groups, using the traditional surgical treatment, minimally invasive treatment group threaddrawing exclusion surgery therapy， compared two groups of hospital stay, postoperative pain points size, The scar width and other indicators of size. Results The treatment group anal resting pressure， the maximum size is the systolic pressure index (8. 64±0. 22) mmhg, (15. 38± 1. 36) mmhg, anal resting pressure of the control group, the maximum size is the systolic pressure index (5. 73±0. 63 ) mmhg, (12. 24± 1. 07) mmhg, comparing the results of the two groups was statistically significant. Conclusion The implementation of minimally invasive surgery threaddrawing exclusion after treatment, the patient’s condition high anal fistula effective control，shorter hospital stay and reduce postoperative pain response， reducing the width of the patient’s wound scar size， improve clinical efficacy, quality of life to give significantly improved and enhanced. Key words : Minimally invasive ； Threaddrawing exclusion technique； High anal fistula； Clinical efficacy 高位肛??是因为病灶区域比较隐蔽，同时病变位置牵涉到肌肉较多， 手术开展过程中，很容易引起损伤、耻骨直肠肌等不良症状［1］，因此在 临床中开展手术治疗的难度明显增大，而采用微创小切口手术治疗及瘘口 间挂浮线引流方式后，可以有效提升手术疗效，改善患者的肛肠