中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2013年
12期
5305-5307
,共3页
韩钢%李恒爽%杨维国%问明亚%叶晋生
韓鋼%李恆爽%楊維國%問明亞%葉晉生
한강%리항상%양유국%문명아%협진생
直肠瘘%超声疗法%外科手术
直腸瘺%超聲療法%外科手術
직장루%초성요법%외과수술
Rectal fistula%Ultrasonic therapy%Surgical procedures,operative
目的对比研究低位肛瘘瘘管切开术中FOCUS超声刀与常规手术的应用。方法采集2011年3月至2013年2月首都医科大学附属北京朝阳医院京西院区收治的行低位肛瘘瘘管切开术患者136例，随机分为观察组（ FOCUS超声刀组）69例和对照组（常规手术）67例，比较两组患者的手术时间、术中失血量、术后并发症。结果观察组和对照组的手术时间分别为（37.2±6.3） min和（49.6±8.9） min，差异有统计学意义（t＝18.19，P＝0.001），术中失血量分别为（25.3±5.7）ml和（39.6±6.2）ml，差异有统计学意义（ t＝12.57，P＝0.001）；二组术后出血、延迟愈合、肛门失禁等并发症发生情况比较，差异无统计学意义（χ2＝0.78，P＝0.53）。结论应用超声刀行痔切除术可以明显地减少手术的出血量、缩短手术时间，不增加手术并发症的发生率。
目的對比研究低位肛瘺瘺管切開術中FOCUS超聲刀與常規手術的應用。方法採集2011年3月至2013年2月首都醫科大學附屬北京朝暘醫院京西院區收治的行低位肛瘺瘺管切開術患者136例，隨機分為觀察組（ FOCUS超聲刀組）69例和對照組（常規手術）67例，比較兩組患者的手術時間、術中失血量、術後併髮癥。結果觀察組和對照組的手術時間分彆為（37.2±6.3） min和（49.6±8.9） min，差異有統計學意義（t＝18.19，P＝0.001），術中失血量分彆為（25.3±5.7）ml和（39.6±6.2）ml，差異有統計學意義（ t＝12.57，P＝0.001）；二組術後齣血、延遲愈閤、肛門失禁等併髮癥髮生情況比較，差異無統計學意義（χ2＝0.78，P＝0.53）。結論應用超聲刀行痔切除術可以明顯地減少手術的齣血量、縮短手術時間，不增加手術併髮癥的髮生率。
목적대비연구저위항루루관절개술중FOCUS초성도여상규수술적응용。방법채집2011년3월지2013년2월수도의과대학부속북경조양의원경서원구수치적행저위항루루관절개술환자136례，수궤분위관찰조（ FOCUS초성도조）69례화대조조（상규수술）67례，비교량조환자적수술시간、술중실혈량、술후병발증。결과관찰조화대조조적수술시간분별위（37.2±6.3） min화（49.6±8.9） min，차이유통계학의의（t＝18.19，P＝0.001），술중실혈량분별위（25.3±5.7）ml화（39.6±6.2）ml，차이유통계학의의（ t＝12.57，P＝0.001）；이조술후출혈、연지유합、항문실금등병발증발생정황비교，차이무통계학의의（χ2＝0.78，P＝0.53）。결론응용초성도행치절제술가이명현지감소수술적출혈량、축단수술시간，불증가수술병발증적발생솔。
Objective To compare the efficacy of FOCUS ultrasonic knife with common operation in the treatment of low fistula canal dissection .Methods A total of 136 cases from Beijing Chaoyang Hospital between March 2011 and February 2012 , were divided into two groups .The FOCUS ultrasonic knife was used in the observation group ( n=69 ) and the common operation was used in the control group ( n=67 ) .The operation time , intraoperative blooding volume ,complications and other indicators after operation were statistically analyzed .Results The operation time of observation group and control group were as follows :observation group(37.2 ±6.3)min vs. control group(49.6 ±8.9)min.The difference in the operation time was statistically significant (t =18.19,P =0.001 ) .The intraoperative blooding volume of observation group and control group were ( 25.3 ±5.7 ) ml and (39.6 ±6.2) ml.The differences in the intraoperative blooding volume was statistically significant ( t =12.57, P=0.001).No significant differences was observed in postoperative bleeding ,delayed union and fecal incontinence (χ2 =0.78 , P =0.53 ) .Conclusion Compared with the common operation , FOCUS ultrasonic knife can reduce intraoperative blooding volume and operation time with less incidence rate of complications .
