中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
8期
52-53
,共2页
肛瘘%肛瘘切除手术%括约肌间瘘管结扎术
肛瘺%肛瘺切除手術%括約肌間瘺管結扎術
항루%항루절제수술%괄약기간루관결찰술
Anal fistula%Anal fistula surgery%Ligation of intersphincteric fistula tract
目的 总结分析肛瘘传统术式与括约肌间瘘管结扎术(LIFT)的临床疗效.方法 选择2011年1月至2014年1月许昌市中心医院收治的200例肛瘘患者为研究对象,根据手术方式分为传统手术组82例、LIFT手术组118例,传统手术组患者给予肛瘘切除术,LIFT组患者给予LIFT术式治疗,观察比较两组患者术后疼痛持续时间、出血持续时间、切口愈合时间、肛门功能以及临床疗效情况.结果 LIFT手术组患者治疗总有效率(98.31％)明显高于传统手术组(79.27％),差异有统计学意义(P ＜0.05);LIFT手术组患者疼痛持续时间、出血持续时间、切口愈合时间以及术后不良率明显低于传统手术组,差异有统计学意义(P＜0.05).结论 与传统的肛瘘切除手术相比,LIFT手术能提高临床疗效,缩短术后疼痛时间以及出血时间,促进切口愈合,降低术后复发率,值得推广使用.
目的 總結分析肛瘺傳統術式與括約肌間瘺管結扎術(LIFT)的臨床療效.方法 選擇2011年1月至2014年1月許昌市中心醫院收治的200例肛瘺患者為研究對象,根據手術方式分為傳統手術組82例、LIFT手術組118例,傳統手術組患者給予肛瘺切除術,LIFT組患者給予LIFT術式治療,觀察比較兩組患者術後疼痛持續時間、齣血持續時間、切口愈閤時間、肛門功能以及臨床療效情況.結果 LIFT手術組患者治療總有效率(98.31％)明顯高于傳統手術組(79.27％),差異有統計學意義(P ＜0.05);LIFT手術組患者疼痛持續時間、齣血持續時間、切口愈閤時間以及術後不良率明顯低于傳統手術組,差異有統計學意義(P＜0.05).結論 與傳統的肛瘺切除手術相比,LIFT手術能提高臨床療效,縮短術後疼痛時間以及齣血時間,促進切口愈閤,降低術後複髮率,值得推廣使用.
목적 총결분석항루전통술식여괄약기간루관결찰술(LIFT)적림상료효.방법 선택2011년1월지2014년1월허창시중심의원수치적200례항루환자위연구대상,근거수술방식분위전통수술조82례、LIFT수술조118례,전통수술조환자급여항루절제술,LIFT조환자급여LIFT술식치료,관찰비교량조환자술후동통지속시간、출혈지속시간、절구유합시간、항문공능이급림상료효정황.결과 LIFT수술조환자치료총유효솔(98.31％)명현고우전통수술조(79.27％),차이유통계학의의(P ＜0.05);LIFT수술조환자동통지속시간、출혈지속시간、절구유합시간이급술후불량솔명현저우전통수술조,차이유통계학의의(P＜0.05).결론 여전통적항루절제수술상비,LIFT수술능제고림상료효,축단술후동통시간이급출혈시간,촉진절구유합,강저술후복발솔,치득추엄사용.
Objective To investigate clinical efficacy of traditional surgical methods and surgical LIFT on anal fistula.Methods Two hundred patients with anal fistula in Xuchang central hospital from January 2011 to December 2014 were divided into the conventional surgery group (82 cases),treated by anal fistula surgery and the LIFT surgery group(118 cases),treated by LIFT surgery surgical treatment.The postoperative pain duration,duration of bleeding,wound healing,and clinical efficacy of anal function of two groups were analyzed.Results The total effective rate of LIFT surgery group (98.31％)was significantly higher than that of conventional surgery group (79.27 ％),there was significant difference (P ＜0.05).The pain duration,duration of bleeding,wound healing and postoperative defect rate of LIFT surgery group were significantly lower than those of the conventional surgery group (P ＜ 0.05).Conclusions Compared with traditional fistula surgery,LIFT surgery can improve the clinical efficacy,shorten the time of postoperative pain and bleeding time,and promote wound healing and reduce the recurrence rate.
