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)

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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(P

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