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后位单切隧道引流术治疗坐骨直肠间隙脓肿的临床研究
【作者】 蔡姮婧；
【导师】 杨向东；
【作者基本信息】 成都中医药大学 ， 中医外科学， 2008， 硕士
【摘要】 目的:肛门后位单切隧道引流术治疗坐骨直肠间隙脓肿已经使用十余年,本文通过它与放射状多切口引流术的比较,对它进行评价。方法:回顾成都肛肠专科医院2005年9月～2007年10月收治的坐骨直肠间隙脓肿的病人共118例,其中36例采用后位单切隧道引流术,82例采用放射状多切口引流术。比较两组术前的年龄、性别、病情情况,术后的总疗效、创面愈合时间、疼痛程度、瘢痕大小、病人满意度、肛门括约肌功能和术后复发情况。统计学分析使用统计软件SPSS13.0,计数资料采用卡方检验,计量资料采用t检验和方差分析,P＜0.05表示差异有显著性意义。结果:术后两组病人的总疗效、肛门括约肌功能和术后复发的情况统计上无显著差异,试验组创面愈合时间、瘢痕大小、病人满意度优于对照组,而术后疼痛程度较对照组差。结论:经后位单切隧道引流术治疗坐骨直肠间隙脓肿疗效肯定,能有效的保护肛门括约肌,保持肛门形态和功能,形成瘢痕较小,应该作为治疗坐骨直肠间隙脓肿的一种合理术式。
【Abstract】 Objective: The anus posterior view cuniculus drainage for ischiorectal abscess have been used for many years in Anorectal Hospital in Chengdu. The aim of this study is to compare the clinical results obtained with the radiated multi-cut draining and the anus posterior view cuniculus drainage in the surgical management of ischiorectal abscess.Method: Review the 118 cases of hospital patients with ischiorectal abscess from September 2005 to October 2007.The patients treated with the anus posterior view cuniculus drainage is the test group(n=36) and the radiated multi-cut draining patients is the control group(n=82). Compared patients with basic situation and the general curative effect, the healing time, the postoperative pain, the size of postoperative scar, fecal incontinence, the patient satisfaction and the recurrence after operation. Then analyze with statistical software SPSS13.0 Statistical significance was accepted as P <0.05.Results: There was no difference in the general curative effect, fecal incontinence, the recurrence after operation and secondary fistula. But there are prominence differences (P<0.05) in the healing time, the size of postoperative scar, the patient satisfaction. But the control group is better in the postoperative(P>0.05).Concludes: The treatment of the anus posterior view cuniculus drainage can effectively protect perianal sphincter, maintain anal shape and lessen postoperative scar. It can not only radically cure ischiorectal abscess, but also maintain the shape and function of anus. It is a reasonable operation of the treatment for ischiorectalabscess.