垫棉压迫法论文：垫棉压迫法低位肛瘘

垫棉压迫法论文：垫棉压迫法低位肛瘘

【中文摘要】探索在低位肛瘘的手术治疗后,能在保证肛瘘治愈率的基础上尽可能地加速患者术后康复,更好地缩短肛瘘创面愈合时间,并简化换药操作。研究方法：选择30例低位肛瘘切开挂线引流术后患者,随机分为两组,治疗组和对照组各15例,治疗组在肛瘘术后

3-5天后抽去引流橡皮筋,停止冲洗切口,改用垫棉法包扎压迫伤口.对照组术后采用普通换药方法。分别就两组患者临床疗效、疗程、创面愈合情况、术后并发症以及住院费用等指标进行对照观察。结果：运用垫棉法压迫法治疗低位肛瘘与采用一次性切开术相比,其临床治愈率、术后疼痛、水肿、术后肛门功能等比较无明显统计学差异(P>0.05)。两组患者创面愈合时间、分泌物情况以及住院费用等比较有显著统计学差异(P<0.05)。结论：垫棉压迫法应用于低位肛瘘术后疗效确切,可缩短愈合时间,避免假性愈合,是一种临床疗效满意的治疗低位肛瘘的方法,值得推广。

【英文摘要】:To explore the low after surgical treatment of anal fistula, anal fistula can be guaranteed as much as possible on the basis of the cure rate accelerated postoperative recovery, better to shorten healing time anal fistula, and simplify the dressing operation.Methods:30 patients with low anal fistula after incision and drainage

lines were randomly divided into two groups, treatment group and control group,15 cases of anal fistula in treatment group 3 to 5 days after removing drainage rubber band, and stop Flush cut, use cotton pad pressure wound dressing method. the control group were using ordinary dressing method. Clinical efficacy of the two groups respectively, treatment, wound healing, postoperative complications and hospital costs and other indicators were observed.Results:The compression method using cotton pad treatment of low anal fistula with the use of one incision compared to the clinical cure rate, postoperative pain, edema, postoperative anal function showed no significant statistical difference (P> 0.05). Two groups of patients healing time, hospitalization costs as well as secretions and there was significant statistical difference

(P<0.05).Conclusion:Conclusion:The compression method is applied to cotton pads low anal fistula is effective, can shorten healing time, avoid false healing, is a satisfactory clinical treatment of low anal fistula, it is worth promoting.

【关键词】垫棉压迫法低位肛瘘

【英文关键词】Pad pressure low anal fistula

【目录】垫棉压迫法在低位肛瘘治疗中的应用研究目录5-7

摘要7-8ABSTRACT8引言9-11第一章绪论11-22 1 祖

国医学对肛瘘及术后创面的认识11-14 1.1 祖国医学对肛瘘的病因病机的认识11-12 1.2 祖国医学对肛瘘治疗的认识12 1.3 祖国医学对肛瘘术后创面的认识12-13 1.4 祖国医学对肛瘘术后创面的治疗认识13-14 2 现代医学对肛瘘及术后创面的认识

14-20 2.1 现代医学对肛瘘病因的认识14 2.2 肛瘘的分类

14-16 2.3 肛瘘的诊断16 2.4 肛瘘的病理16-17 2.5 现代医学对肛瘘治疗的认识17-19 2.6 现代医学对肛瘘术后创面修复的认识19-20 3. 关于垫棉压迫法20-22第二章临床研究

22-31 1. 临床资料22-23 1.1 研究对象22 1.2 一般资料22-23 1.3 诊断标准23 1.4 纳入与排除标准23 2. 治疗方法23-25 2.1 术前准备24 2.2 手术步骤24 2.3. 对照组处理24-25 3. 观察方法25 4. 疗效评定标准25-26 4.1 疗效评定标准25 4.2 术后并发症评分标准25-26 4.3 术后肛门自制功能评分标准26 5. 统计方法26 6. 治疗效果26-29 6.1 总疗效26-27 6.2 疗程27 6.3 住院费用27 6.4 术后反应27-29 6.5 术后肛门功能情况29 6.6 术后复发情况297. 结果分析29-317.1 一般资料分析297.2 术后观察数据分析29-31第三章讨论31-34 1. 本方法的理论基础31-32 2 垫棉压迫法的注意事项32 2.1 垫棉压迫法的时机32 2.2 垫棉压迫法的方法32 3. 垫棉压迫法的术式特点及创新点

32-33 3.1 古法今用32-33 3.2 继承创新33 4 问题及展望33-34结语34-35参考文献35-37附录一37-41附录二