| 摘要: |
| 目的:比较虚实结合挂线法与传统挂线法治疗骨盆直肠间隙脓肿的临床效果。方法:选择 2017年 6月—2020年 6月内蒙古自治区呼伦贝尔市中蒙医院肛肠科收治的 36例骨盆直肠间隙脓肿患者，分为治疗组和对照组各 18例，治疗组行虚实结合挂线法治疗，对照组用传统挂线法治疗，比较两组术后创面疼痛程度、肛门功能 Wexner评分、创面痊愈时间、临床总有效率、复发率、患者满意度。结果:治疗组治愈 17例，显效 1例，治愈率 94%。对照组治愈 15例，显效 2例，有效 1例，治愈率 83%，两组差异无统计学意义 (P>0.05)。术后第 1、7、14、21天，治疗组创面疼痛程度评分分别为(2.39±0.50)、(1.61±0.50)、(0.78±0.73)、(0.28±0.46)分，均低于对照组的(2.72±0.46)、(2.17±0.51)、(1.44±0.51)、(0.67±0.49)分；治疗组创面完全愈合时肛门功能Wexner 评分(1.28±0.46)分，明显小于对照组的(1.78±0.65)分；治疗组创面痊愈时间(23.83±1.72)d、明显短于对照组的(26.39±2.25)d，差异有统计学意义(P <0.05)。随访1 年后，治疗组均无复发，对照组复发1 例。结论:虚实结合挂线法治疗高位肛周脓肿较传统的挂线治疗更能有效保护肛门括约肌功能，肛直环不完全断开，疼痛轻、组织损伤少，能有效避免发生肛门部分功能障碍等并发症及后遗症。 |
| 关键词: 骨盆直肠间隙脓肿 虚实结合挂线法 中西医结合治疗 |
| DOI：10.3969/j.issn.1007-6948.2021.06.009 |
| 投稿时间：2020-06-20 |
| 基金项目: |
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| Treating Pelvic Rectal Space Abscess with Combination of Dotted and Solid Thread-ligating Therapy |
| WU yun-ge-ri-le,CAO Xue-li |
| Department of Anorectal, Hulunbuir Middle Mongolia Hospital, Inner Mongolia Autonomous Region, Hulunbuir 021000, China |
| Abstract: |
| Objective To compare the clinical observation of the treatment of pelvic and rectum abscess by the combination of virtual and real suture method andtraditional suture method. Methods By retrospective analysis, 36 patients with pelvic and rectal space abscess who met the inclusion criteria were divided into the treatment group and the control group (18 cases in each group). The treatment group was treated with the combination of deficiency and deficiency with line hanging method, while the control group was treated with the traditional line hanging method. The degree of postoperative wound pain, Wexner score of anal function, wound healing time, total clinical effective rate, recurrence rate and patient satisfaction were compared between the two groups. Results On the 1st, 7th, 14th and 21st day after surgery, the wound pain degree of the treatment group was (2.39±0.50a), (1.61±0.50a), (0.78±0.73a), (0.28±0.46a) were lower than those in the control group (2.72±0.46), (2.17±0.51), (1.44±0.51), (0.67±0.49); The Wexner score of anal function in the treatment group (1.28±0.46a) was significantly lower than that in the control group (1.78±0.65) when the wound healed completely. The wound healing time of the treatment group was (23.83±1.72a) days, which was significantly shorter than that of the control group (26.39±2.25) days, and the statistical difference was significant (P <0.05). In the treatment group, 17 cases were cured and 1 case showed remarkable effect, the cure rate was 94%. In the control group, 15 cases were cured, 2 cases were significantly effective, and 1 case was effective, with a cure rate of 83%. There was no significant difference between the two groups (P >0.05). There was no recurrence in the treatment group and 1 case in the control group. Conclusion Compared with the traditional treatment of high perianal abscess, the combination of virtual and solid suture can effectively protect the function of anal sphincter, with incomplete disconnection of the anal ring, less pain and less tissue damage. Effectively avoid the occurrence of anal partial dysfunction, other complications and sequela. |
| Key words: Abscess of pelvic rectal space combination of deficiency and reality threading method integrated Chinese and Western medicine |
