摘要
目的:探究经括约肌间瘘管结扎术(LIFT)联合痔瘘舒丸、康复新液治疗肛瘘的临床效果及对肛肠动力学指标变化的影响。方法:本次研究对象为2019年1月-2020年1月笔者所在医院肛肠科接收的110例肛瘘患者。通过随机抽签的方式将患者均分为对照组和观察组,每组55例。对照组单纯接受LIFT治疗,观察组采用LIFT联合痔瘘舒丸和康复新液治疗。比较两组治疗效果、腐肉脱落时间、创面愈合时间、治疗前后肛门功能及肠动力学指标变化情况。结果:观察组治疗总有效率高于对照组,但两组比较差异无统计学意义(P>0.05)。治疗前,两组肛门功能评分比较差异无统计学意义(P>0.05);治疗后,观察组肛门功能评分优于对照组,差异有统计学意义(P<0.05)。治疗后,两组肛肠动力学指标均显著优于治疗前,且观察组肛管最大收缩压、直肠静息压和肛管静息压均显著优于对照组,差异有统计学意义(P<0.05);治疗后,观察组腐肉脱落时间、创面愈合时间均早于对照组,差异有统计学意义(P<0.05)。结论:LIFT联合痔瘘舒丸、康复新液治疗肛瘘可提升肛门功能,且能够有效改善肛肠动力学指标,促进创面愈合,可在临床推广应用。
Objective:To explore the clinical effect of ligation of the intersphincteric fistula tract (LIFT) combined with Zhiloushu Pill and Kangfuxin Liquid in the treatment of anal fistula and its influence on the changes of anorectal dynamics indexes.Method:The subjects of this study were 110 patients with anal fistula received by the proctology department of our hospital from January 2019 to January 2020.The patients were divided into the control group and the observation group by random lottery,with 55 patients in each group.The control group received LIFT therapy alone,while the observation group received LIFT combined with Zhiloushu Pill and Kangfuxin Liquid.The treatment effect,decayed meat shedding time,wound healing time,anal function and anorectal dynamic indexes before and after treatment were compared between the two groups.Result:The total effective rate of treatment in the observation group was higher than that in the control group,but there was no statistically significant difference between the two groups (P>0.05).Before treatment,there was no significant difference in anal function score between the two groups (P>0.05).After treatment,the anal function score of the observation group was better than that of the control group,and the difference was statistically significant (P<0.05).After treatment,the anorectal dynamics indexes in both groups were significantly better than those before treatment,and the maximum anal systolic pressure,rectal resting pressure and anal resting pressure in the observation group were significantly better than those in the control group,the differences were statistically significant (P<0.05).After treatment,the decayed meat shedding time and wound healing time of the observation group were earlier than those of the control group,and the differences were statistically significant (P<0.05).Conclusion:LIFT combined with Zhiloushu Pill and Kangfuxin Liquid in the treatment of anal fistula can improve anal function,effectively improve the anorectal dynamic indexes,promote wound healing,and can be widely promoted in clinical application.
作者
谢加强
陆才福
XIE Jiaqiang;LU Caifu(Huangshi Aikang Hospital,Huangshi 435000,China)
出处
《中外医学研究》
2021年第4期58-60,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经括约肌间瘘管结扎术
痔瘘舒丸
康复新液
临床效果
肛肠动力学
Transsphincteric fistula ligation
Zhiloushu Pill
Kangfuxin Liquid
Clinical effect
Anorectal dynamics
