保留肛窦微创置管冲洗引流治疗肛周脓肿的可行性研究
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四川省卫生厅科研课题(120388)


Study on perianal abscess with minimally invasive catheter douching and negative pressure drainage
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    【摘要】 目的 探讨肛旁置管冲洗联合负压引流对肛周脓肿的疗效及可行性。方法 将80例肛周脓肿患者随机分为试验组和对照组,试验组采用微创置管冲洗联合负压引流术,对照组采用传统术式,观察两种手术方法在疗效、安全性、术后肛门疼痛、肛门功能、肛周脓肿复发率及肛瘘形成率、手术时间及愈合时间、住院费用方面的差异。结果 腔内置管冲洗加负压引流术(试验组)对术后肛门疼痛、肛门功能、愈合时间、住院时间及治疗费用等方面均有积极影响,相比于对照组,差异有统计学意义(P<005);两组疗效及安全性相当,术后脓肿复发率及肛瘘形成率亦无显著差异(P>005)。结论 腔内置管冲洗加负压引流手术在保证疗效及安全性的基础上,减少了手术创伤,缩短了住院时间,降低了患者痛苦及经济负担,更大限度地保护了肛门功能,可在临床推广应用。

    Abstract:

    【Abstract】 Objective To investigate the curative effect and possibility of catheter continuous douching and negativepressure draining on perianal abscess. Methods 80 perianal abscess patients were randomly divided into treatment Group and control Group, catheter continuous douching and negativepressure draining were used in the treatment Group,while the patients in control Group were treated by traditional operations. The clinical outcome included efficacy, security, postoperative anal pain, anal function, the recurrence rate, anal fistula incidence, treatment time ,hospital stays and expenses were observed. Results Catheter continuous douching and negativepressure draining had significant influence on the postoperative pain,anal function,healing time, hospital stays and costs(P<005).But had no significant influence on efficacy, Security, the recurrence rate and anal fistula incidence(P>005). Conclusion On the basis of the efficacy and safety, catheter continuous douching and negativepressure draining can decrease operative trauma, shorten hospital stays, reduce the pain and economic burden of patients and protect the anus function for more degree.

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  • 在线发布日期: 2017-07-19
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