临床外科杂志 ›› 2022, Vol. 30 ›› Issue (4): 360-363.doi: 10.3969/j.issn.1005-6483.2022.04.017

• 论著 • 上一篇    下一篇

脱细胞小肠黏膜下层组织肛瘘塞与传统切开挂线术对于肛周感染后肛瘘的修复效果比较

  

  1. 100120 北京市肛肠医院/北京市二龙路医院护理部(高岩),外科(贾山)
  • 收稿日期:2021-06-22 接受日期:2021-06-22 出版日期:2022-04-20 发布日期:2022-04-20
  • 通讯作者: 贾山,Email:2801024269@qq.cm

Comparison of small intestinal submucosa anal fistula plug and traditional incision and thread drawing in the repair of anal fistula after perianal infection

  1. Department of Nursing,Beijing anorectal Hospital/Beijing Erlong Road Hospital,Beijing 100120, China
  • Received:2021-06-22 Accepted:2021-06-22 Online:2022-04-20 Published:2022-04-20

摘要: 目的 研究脱细胞小肠黏膜下层组织(SIS)肛瘘塞对肛周感染后肛瘘的修复效果。 方法 2018年6月~2020年6月间收治的肛周感染合并高位肛瘘病人86例,根据治疗方法的不同分为两组,观察组43例,采用SIS肛瘘塞治疗,对照组43例,采用传统切开挂线术治疗,比较两组病人的临床疗效、术后疼痛评分、肛门失禁Wexner评分和不良反应。 结果 观察组病人的痊愈率为86.05%,总有效率为93.02%,对照组分别为72.09%和83.72%,观察组术后1、3、7、14天的疼痛评分低于对照组,两组比较差异有统计学意义( P <0.05)。观察组病人术前肛门失禁Wexner评分与对照组比较,差异无统计学意义( P >0.05),观察组术后1个月、3个月、6个月的肛门失禁Wexner评分均低于对照组,两组比较差异有统计学意义( P <0.05);两组病人术后均出现了不良反应,观察组病人不良反应总发生率(11.63%)显著低于对照组的(32.56%),两组比较差异有统计学意义( P < 0.05)。 结论 SIS肛瘘塞在在肛周感染后高位肛瘘修复治疗中有着更好的临床疗效,能有效减轻病人术后疼痛和肛门失禁的症状,同时还能减少炎症反应和不良反应的发生。

关键词: 小肠黏膜下层组织肛瘘塞, 肛周感染, 肛瘘, 修复

Abstract: Objective To study the repair effect of SIS anal fistula plug on anal fistula after perianal infection. Methods 86 patients with perianal infection combined with high anal fistula in our hospital from June 2018 to June 2020 were selected as the research objects.According to different treatment methods,they were divided into observation group(43 cases) treated with SIS anal fistula plug and control group(43 cases) treated with traditional incision and thread drawing.The clinical efficacy,postoperative pain score,anal incontinence Wexner score,serum cytokine levels and adverse reactions were compared between the two groups. Results The cure rate(86.05%) and total effective rate(93.02%) of the observation group were significantly higher than those of the control group(72.09%,83.72%),and the pain scores of 1,3,7,14 days after operation were significantly lower than those of the control group( P < 0.05).There was no significant difference in the preoperative Wexner score of anal incontinence between the observation group and the control group( P >0.05),but the Wexner score of anal incontinence in the observation group was significantly lower than that in the control group at one month,three months and six months after operation( P <0.05).Adverse reactions occurred in both groups,but the total incidence of adverse reactions in the observation group(11.63%) was significantly lower than that in the control group(32.56%)( P < 0.05). Conclusion SIS anal fistula plug has a better clinical effect in the repair of high anal fistula after perianal infection,which can effectively reduce the symptoms of postoperative pain and anal incontinence,reduce the incidence of inflammatory reactions and adverse reactions.

Key words: small intestinal submucosa anal fistula plug, perianal infection, anal fistula, repair

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