基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2015年
26期
3614-3615
,共2页
肛瘘%双弧形创缘%疗效%安全性
肛瘺%雙弧形創緣%療效%安全性
항루%쌍호형창연%료효%안전성
Anal fistula%Double arc gen margin%Curative effect%Safety
目的：观察双弧形创缘对肛瘘术后创面愈合的疗效及安全性。方法将86例肛瘘患者随机分为观察组和对照组，每组43例，观察组采用双弧形创缘，对照组采用“V”形创缘，比较两种切口在术后愈合时间，切口水肿，术后皮内翻发生率，平均住院日等方面的差异。结果2组患者在术后愈合时间，术后14 d平均创面愈合率，切口水肿，术后皮内翻发生率，平均住院天数方面差异均有统计学意义（P<0.05）。结论双弧形创缘对肛瘘术后创面愈合更可靠，值得推广。
目的：觀察雙弧形創緣對肛瘺術後創麵愈閤的療效及安全性。方法將86例肛瘺患者隨機分為觀察組和對照組，每組43例，觀察組採用雙弧形創緣，對照組採用“V”形創緣，比較兩種切口在術後愈閤時間，切口水腫，術後皮內翻髮生率，平均住院日等方麵的差異。結果2組患者在術後愈閤時間，術後14 d平均創麵愈閤率，切口水腫，術後皮內翻髮生率，平均住院天數方麵差異均有統計學意義（P<0.05）。結論雙弧形創緣對肛瘺術後創麵愈閤更可靠，值得推廣。
목적：관찰쌍호형창연대항루술후창면유합적료효급안전성。방법장86례항루환자수궤분위관찰조화대조조，매조43례，관찰조채용쌍호형창연，대조조채용“V”형창연，비교량충절구재술후유합시간，절구수종，술후피내번발생솔，평균주원일등방면적차이。결과2조환자재술후유합시간，술후14 d평균창면유합솔，절구수종，술후피내번발생솔，평균주원천수방면차이균유통계학의의（P<0.05）。결론쌍호형창연대항루술후창면유합경가고，치득추엄。
ObjectiveFor the analysis of double arc edge in the anal fistula efficacy and safety of postoperative wound healing.Method86 patients with anal fistula were randomly assigned to observation group and control group, 43 cases in each group,Observation group with double arc edge,the control group uses the“V”shape edge,comparing the two incision healing time after surgery. Edema of anal edge,postoperative granulation clip rate,differences in incidence of postoperative skin varus,etc. The results showed that the two groups of patients in the healing time,the average wound healing rate 14 days after operation,edema of incision,postoperative granulation clip rate,incidence of postoperative skin varus differences have statistical significance(P<0.05).ConclusionThe results show that the double arc edge in the anal fistula postoperative wound healing more reliable curative effect,is worth promoting.
