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小切口微创挂线法治疗肛瘘的效果分析 预览

Analysis of Effect of Small Incision and Minimally Invasive Thread-ligating Therapy in Treatment of Archosyrinx
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摘要 目的探讨小切口微创挂线治疗肛瘘的临床疗效。方法方便选取了2014年6月—2016年6月181例于该院治疗的肛瘘患者,随机分为两组,观察组选用小切口微创挂线法,对照组选用常规手术法,比较两组术后的疗效、肛肠动力学、住院时间、疼痛时间、瘢痕大小及患者的满意度。结果小切口微创挂线法的痊愈率为43.26%、显效率48.22%及好转率为7.00%均高于常规方法,差异有统计学意义(P〈0.05);使用小切口微创挂线法的患者,其肛肠压力明显高于常规患者,差异有统计学意义(P〈0.05);小切口微创挂线法的患者其住院时间为(12.21±3.11)d,明显缩短与常规组,疼痛时间为(4.21±2.01)d及瘢痕大小为(1.76±0.31)cm均低于常规组,差异有统计学意义(P〈0.05),并且患者的对于医护的满意度提高。结论通过对两种手术方法的比较,小切口挂线法治疗肛瘘明显优于常规手术方法。 Objective To discuss the clinical curative effect of small incision and minimally invasive thread-ligating therapy in treatment of archosyrinx. Methods 181 cases of archosyrinx patients treated in our hospital from June 2014 to June2016 were convenient selected and randomly divided into two groups, the observation group and the control group respectively adopted the small incision and minimally invasive thread-ligating therapy and routine surgery method, and the postoperative curative effect, anorectal dynamics, length of stay, pain time, scar size and satisfactory degree of patients were compared between the two groups. Results The cure rate, markedly effective rate and improvement rate of small incision and minimally invasive thread-ligating therapy were respectively 43.26%, 48.22% and 7.00%, which were higher than those of the routine method, and the differences were statistically significant(P〈0.05), and the anorectal pressure was obviously higher than that of routine patients, and the difference was statistically significant(P〈0.05), and the length of stay of patients with small incision and minimally invasive thread-ligating therapy was(12.21±3.11)d, which was obviously shortened compared with that in the routine group, and the pain time and scar size were respectively(4.21±2.01)d and(1.76±0.31)cm, which were lower than those in the routine group, and the difference was statistically significant(P〈0.05), and the satisfactory degree of patients to doctors and nurses was improved. Conclusion The effect of small incision and minimally invasive thread-ligating therapy in treatment of archosyrinx is obviously better than that of routine surgery method.
作者 潘红 PAN Hong(Anorectal Department, Zibo traditional Chinese and Western Medicine Hospital,Zibo,Shaodong Province,255000 China)
出处 《中外医疗》 2017年第18期96-97,100共3页 Friend of Chemical Industry
关键词 小切口微创挂线法 肛瘘 临床疗效 Small incision and minimally invasive thread-ligating therapy Archosyrinx Clinical curative effect
作者简介 潘红(1976-),女,山东溜博人,本科,主治医师,研究方向:肛肠方面.
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