本文選題：低位單純性肛瘺 + 內(nèi)口結(jié)扎　； 參考：《成都中醫(yī)藥大學(xué)》2015年碩士論文

【摘要】：目的：通過對(duì)內(nèi)口結(jié)扎切口縮創(chuàng)縫合引流術(shù)與肛瘺切開引流術(shù)兩種手術(shù)方式的比較,觀察評(píng)估“內(nèi)口結(jié)扎切口縮創(chuàng)縫合引流術(shù)”手術(shù)治療低位單純性肛瘺的臨床療效。方法：收集60例符合納入標(biāo)準(zhǔn)的低位單純性肛瘺住院患者隨機(jī)分成試驗(yàn)組和對(duì)照組,試驗(yàn)組30例選用內(nèi)口結(jié)扎切口縮創(chuàng)縫合引流術(shù),對(duì)照組30例選用肛瘺切開引流術(shù)。觀察比較兩組病例的臨床療效、手術(shù)時(shí)間、術(shù)中出血、術(shù)后并發(fā)癥、術(shù)后創(chuàng)面大小、瘢痕面積、切口愈合時(shí)間、肛門功能及隨訪半年復(fù)發(fā)情況等相關(guān)因素。結(jié)果：試驗(yàn)組在術(shù)后創(chuàng)面面積、傷口愈合時(shí)間、術(shù)后瘢痕大小、術(shù)后出血等方面明顯優(yōu)于對(duì)照組,存在顯著性差異(P0.01)；而在手術(shù)當(dāng)天及術(shù)后7天內(nèi)肛門疼痛、尿潴留、術(shù)后切口水腫、術(shù)后感染、近期臨床療效、肛門功能影響及隨訪半年復(fù)發(fā)情況等方面兩組無顯著性差異(P0.05)；手術(shù)時(shí)間試驗(yàn)組比對(duì)照組稍長(zhǎng),存在顯著差異(P0.01)。結(jié)論：內(nèi)口結(jié)扎切口縮創(chuàng)縫合引流術(shù)能夠有效的治療低位單純性肛瘺。同時(shí)該術(shù)式具有縮小術(shù)后切口創(chuàng)面,減輕術(shù)后出血,縮短創(chuàng)面愈合時(shí)間,保護(hù)肛門功能和縮小術(shù)后瘢痕面積的優(yōu)點(diǎn),符合微創(chuàng)化和快速康復(fù)外科(FTS)的理念,是治療低位單純性肛瘺的良好手術(shù)方式。
[Abstract]:Objective: to compare the two operative methods of internal ligation, incision, suture, drainage and anal fistula incision and drainage, and to evaluate the clinical effect of "internal ligation, incision, wound, suture, drainage" in the treatment of low simple anal fistula. Methods: sixty inpatients with low grade simple anal fistula were randomly divided into experimental group and control group. 30 patients in the test group were treated with internal ligation incision, and 30 patients in the control group were treated with anal fistula incision and drainage. The clinical efficacy, operative time, intraoperative bleeding, postoperative complications, postoperative wound size, scar area, wound healing time, anal function and recurrence in half a year were observed and compared between the two groups. Results: the experimental group was superior to the control group in wound area, wound healing time, postoperative scar size, postoperative bleeding and so on, there was significant difference between the two groups (P 0.01), but on the day of operation and 7 days after operation, anal pain and urinary retention were observed. There was no significant difference between the two groups in incision edema, postoperative infection, short-term clinical effect, anal function and recurrence in half a year, but the operation time in the experimental group was a little longer than that in the control group, and there was a significant difference between the two groups (P 0.01). Conclusion: the internal ligation incision and suture drainage can effectively treat low-grade simple anal fistula. At the same time, the operation has the advantages of reducing incision wound, reducing postoperative bleeding, shortening wound healing time, protecting anal function and reducing postoperative scar area, which accords with the idea of minimally invasive and rapid rehabilitation surgery FTS. It is a good way to treat low simple anal fistula.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R657.16

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