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ID:32229088
大小:1.50 MB
页数:32页
时间:2019-02-01
《高位单纯性肛瘘切开挂线结合纸捻换药的临床疗效观察(7362)》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、南京中医药大学硕士学位论文摘要目的:探讨高位单纯性肛瘘的手术及术后换药方法和临床疗效,试图找到一种对肛门功能损害小、操作方便、痛苦少、疗程短、费用低、避免二次扩创引流,患者易于接受的高位单纯性肛瘘的手术方法和换药方法。方法:选择40例高位单纯性肛瘘患者,经分析随机分为两组,试验组和对照组各20例,试验组采用切开挂线术结合术后中后期纸捻换药,对照组采用与试验组相同的术式切开挂线术结合术后常规纱条换药。分别记录两组患者总体疗效、疗程、治愈率、复发率、术后肛门功能及形态、住院时间、出院后门诊换药时间、治疗费用、需二次扩创引流的病例、根据观察指标评分标准进行评分。随访半年到一年,计量资料采用t检验,
2、计数资料采用卡方检验、秩和检验及Fisher确切概率法检验观察在疗程、疗效、复发率、肛门功能、二次扩创、出院后门诊换药时间、治疗费用等方面的差异。结果:试验组和对照组间在疗程、疗效、治愈率、复发率、愈合后肛门功能及形态方面,经统计学分析,两组间无显著差异(P>O.05)。两组间住院时间、出院后门诊换药时间、需二次扩创引流的病例、治疗费用、经统计学分析存在差异(P3、thehighoperationandtheanalsimplemethodandclinicaltreatmenteffect,tryingtofindasmalloftheanusimpairment,convenientoperation,lesspainful,lowcost,shortcourse.avoidseconddebridementdrainage,patientstoaccepthighsurgicalmethodandanalsimplemixturemethod.Method:choosehighunisexual40casesbyanalysis,analpati4、entswererandomlydividedintotwogroups,20casesandcontrolsgroup20patientsperformedbyopenhangedlinegroupwithZhiNiantreatmentgroupandpostoperativelaterperformedbyopenhangedlinewithconventionalgauzestripafterthebandage.Twogroupsofpatientsrespectivelyrecordlevels,thesecretionofpostoperativepain,granulatio5、ntissueandquantityofpostoperativeanalfunctionandform,thelengthoftimetheoutpatienttreatmenttime,afterdischarge,needtobeexpanded,andaccordingtotheobservedindexeasesratingcriteria.Follow—upsixmonthstoayear,measurementdatausingt-test,countingmaterialusingrankandinspection,chi。square,andFisherexactproba6、bilitymethodforinspectioninthecurativeeffect,observedtreatment,recurrencerates,analfunctionandpostoperativepaindegree,thesecretionofdifferencesinquantity.Results:intreatmentgroupandcontrolgroup(healbetweentime)andpostoperativepaindegree,postoperativeanalfunctionandanUSbytheideology,afternosignifica7、ntdifferences,statisticalanalysis(Pthan0.05).Postoperativerecurrencerate,ineffect,thesecretionandgranulationsituationintwogroups,nosignificantdifference(P>0.05),twogroupsinthelengthoftimetheoutpatienttreatm
3、thehighoperationandtheanalsimplemethodandclinicaltreatmenteffect,tryingtofindasmalloftheanusimpairment,convenientoperation,lesspainful,lowcost,shortcourse.avoidseconddebridementdrainage,patientstoaccepthighsurgicalmethodandanalsimplemixturemethod.Method:choosehighunisexual40casesbyanalysis,analpati
4、entswererandomlydividedintotwogroups,20casesandcontrolsgroup20patientsperformedbyopenhangedlinegroupwithZhiNiantreatmentgroupandpostoperativelaterperformedbyopenhangedlinewithconventionalgauzestripafterthebandage.Twogroupsofpatientsrespectivelyrecordlevels,thesecretionofpostoperativepain,granulatio
5、ntissueandquantityofpostoperativeanalfunctionandform,thelengthoftimetheoutpatienttreatmenttime,afterdischarge,needtobeexpanded,andaccordingtotheobservedindexeasesratingcriteria.Follow—upsixmonthstoayear,measurementdatausingt-test,countingmaterialusingrankandinspection,chi。square,andFisherexactproba
6、bilitymethodforinspectioninthecurativeeffect,observedtreatment,recurrencerates,analfunctionandpostoperativepaindegree,thesecretionofdifferencesinquantity.Results:intreatmentgroupandcontrolgroup(healbetweentime)andpostoperativepaindegree,postoperativeanalfunctionandanUSbytheideology,afternosignifica
7、ntdifferences,statisticalanalysis(Pthan0.05).Postoperativerecurrencerate,ineffect,thesecretionandgranulationsituationintwogroups,nosignificantdifference(P>0.05),twogroupsinthelengthoftimetheoutpatienttreatm
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