研究肛瘘切开半深缝合术的疗效论文
2015-01-09 01:31
导读:药学论文毕业论文,研究肛瘘切开半深缝合术的疗效论文论文模板,格式要求,科教论文网免费提供指导材料:【摘要】 [目的]研究肛瘘切开半深缝合术的疗效。[方法]把106例单发肛瘘
【摘要】 [目的]研究肛瘘切开半深缝合术的疗效。[方法]把106例单发肛瘘患者随机分为3组,A组36例采用切开半深缝合术;B组(对照1组)32例采用切开术,C组(对照2组)38例采用切除1期缝合术;通过6~18月的跟踪随访,在治疗时间、费用、创面瘢痕宽度和术后并发症方面进行判断分析,比较优劣。[结果]A、B、C组全部治愈。A组平均愈合时间短、费用少,与B、C组比较有显著差异,而在创面瘢痕宽度上A、C组比B组明显缩小;术后并发症方面,B、C组为多;A组未出现肛门功能损伤患者;B组3例、C组1例有肛门凹陷畸形。[结论]肛瘘切开半深缝合组治愈时间短、费用低、创面瘢痕小、并发症少、术后痛苦轻且处理简单,为治疗肛瘘的首选方式。
【关键词】 肛瘘;切开术;半深缝合术;一期缝合
Abstract:[Objective] To study the cure effect of dissection half瞕eep stitch on anus fistula.[Method] Divide 106 cases randomly into 3 groups,group A take dissection half-deep stitch operation;group B (control group 1) 32 cases dissection,group C(control group 2)38 cases phase1 stitch operation;by 6~18 months of trace follow-up,make judge and comparison on treatment time,expense,trauma scar width and post-operation complication.[Result] Groups A,B,C were all cured;group A had less average cure time and expense,greatly different from that of groups B and C;while on trauma scar width,groups A and C was less than B;on post瞣peration complication,groups B and C had more;group A had no injured anus function;3 cases in group B,1 in group C had abnormality in depressed anus.[Conclusion] Dissection half瞕eep stitch of anus fistula has short cure time,low expense,small trauma scar,little complication,light post瞣peration pain and simple management,is a first choice for anus fistula.
Key words: anus fistula;dissection;half瞕eep stitch operation;phase1 stitch
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2004年将我院收治的106例单发肛瘘患者,我们采用切开半深缝合术、切开术、切除一期缝合术等三种不同的手术方法治疗,均获治愈,并在临床观察基础上进行分析比较,现总结如下。
1 临床资料
采用随机双盲法,将患者分为3组,A组36例采用切开半深缝合术,B组32例采用切开术,C组38例采用切除一期缝合术。A组36例中,男30例,女6例,年龄18~65岁,平均37.79±11.70。病程1.5~48月,平均18.73±16.74月。B组32例中,男27例,女5例,年龄22~63岁,平均37.25±11.25。病程0.5~72个月,平均21.89±21.37月。C组38例中,男31例,女7例,年龄16~64岁,平均34.95±11.29。病程0.5~120个月,平均24.44±31.13月。3组经
统计学卡方和方差检验,在性别、年龄、病程分布上均无显著差异(P