摘要
目的:观察虚实结合挂线法对直肠狭窄患者的疗效,并与传统切开法进行比较。方法:选择40例直肠狭窄患者,随机分为治疗组与对照组。治疗组采用虚实结合挂线法(即丝线挂线法),对照组采用传统切开法。术后1个月、6个月时评估狭窄程度。比较2组临床疗效、手术前后狭窄口径评分、术后疼痛VAS评分、愈合时间等指标。结果:丝线挂线治疗直肠狭窄有效率100%,术后1个月、6个月时肛门狭窄口径较术前得到扩张,差异有统计学意义(P<0.05);术后疼痛评分逐渐减低,治疗组患者平均愈合时间(28.60±2.85d)低于对照组,差异有统计学意义(P<0.05)。结论:与传统切开法相比,虚实结合挂线法治疗直肠狭窄可保证治愈率,且有效改善狭窄管腔口径,同时具有减轻术后疼痛、改善排便费力症状、加速愈合等优势,安全有效。
Objective:To observe the treatment of rectal stenosis with cutting and thread-drawing seton and compare it with traditional cutting method,and evaluate the clinical efficacy of cutting and thread-drawing seton.Methods:Forty patients with rectal stenosis were randomly assigned into the treatment group and the control group.Perform digital rectal examination at 1 month and 6 months postoperatively to assess the degree of stenosis.The patients in treatment group were treated with cutting and thread-drawing seton(i.e.silk threaddrawing seton),while those in the control group were treated with t cutting method.To compare the clinical efficacy,Stenosis caliber score,VAS score,healing time between the two groups were compared.Results:The effective rate of treating rectal stenosis with cutting and thread-drawing seton was 100%.Anal stenosis at 1and 6 months after surgery was expanded after operation(P<0.05).The pain score decreased gradually with the wound healing.The average healing time was 28.60±2.85 days after operation,which was lower than that of the control group(P<0.05).Conclusion:Compared with the cutting method,the modified thread-hanging setoncan not only ensure the cure rate,effectively improve caliber of the anal and rectal stenosis tube,but also have the advantages of reducing postoperative pain,improving defecation symptoms and accelerating healing time.It is a safe and effective TCM method,which is worthy of clinical application.
作者
李昕
石玉迎
智从从
郑丽华
LI Xin;SHI Yu-ying;ZHI Cong-cong(Proctology Department,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中日友好医院学报》
CAS
2024年第3期135-138,共4页
Journal of China-Japan Friendship Hospital
基金
中日友好医院临床研究与转化跃升项目(2022-NHRHCRF-LX-02-0121)。
关键词
直肠狭窄
丝线挂线
切开法
rectal stenosis
silk thread-drawing seton
cutting method
