可弯曲空心探针在肛门直肠周围脓肿一次根治术中的应用研究(1)
[摘要] 目的 研究可弯曲空心探针在肛门直肠周围脓肿一次根治术中的应用，进一步探讨其创造性、实用性、新颖性，体现专利技术在临床医学中的价值。 方法 将我院诊断为肛门直肠周围脓肿的120例患者随机分成两组，实验组和对照组各60例。实验组采用可弯曲空心探针及联合染色、造影诊疗，对照组采用传统探针诊疗。观察两组手术时间、一次性手术治愈率、复发率、疗程，并进行统计学分析。 结果 实验组患者全部一次治愈，一次手术治愈率为100.0%；对照组一次治愈52例，其余患者多次手术治愈，一次手术治愈率为86.7%；实验组平均手术时间为(25±3)min；对照组平均手术时间(50±6)min；疗程实验组平均(27±5)d，对照组平均(37±4)d；实验组手术时间、一次性手术治愈率、疗程均明显优于对照组。两组疗效比较差异有高度统计学意义(P < 0.01)。 结论 可弯曲空心探针应用于肛门直肠周围脓肿一次根治术中具有明显的先进性、创造性、实用性，可明显减少患者痛苦，该项科技成果具有一定的临床意义。
[关键词] 可弯曲空心探针；肛门直肠周围脓肿；诊治
, 百拇医药
[中图分类号] R657.15 [文献标识码] B [文章编号] 1673-7210(2012)01(b)-152-03
Application of flexible hollow probe in the radical resection of perianal and perirectal abscess
GUO Minghao
Department of Anorectal, the South District of Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102618, China
[Abstract] Objective To explore the application of flexible hollow probe in radical resection in the treatment of perianal and perirectal abscess, and discuss the innovation, practicality and novelty, and further prove its value in clinical valor. Methods 120 patients diagnosed with perianal and perirectal abscess in our hospital were randomly divided into experiment group and control group, and each group had 60 patients. Patients in experiment group were treated with combination of flexible hollow probe with dyeing and contrast, while patients in control group were treated with routine probe. Some indicators such as operative time, primary curative rate, recurrence rate, treatment course, anal control function and pain of patients were observed. Then statistical analysis was conducted. Results All patients of experiment group were cured primarily and the primary curative rate was 100.0%. While in control group, 52 cases were cured primarily and the primary curative rate was 86.7%.The mean operative time in experiment group was (25±3) min, while in control group was (50±6) min. The treatment course in experiment group was (27±5) d, while in control group was (37±4) d. Statistical analysis showed that the differences of operative time, curative rate and treatment course between the two groups were different significantly (P < 0.01). And the experiment group showed a better effect. Conclusion Flexible hollow probe has the advantage of innovation, practicality and novelty in diagnosis and the treatment of perianal and perirectal abscess, it can relieve the patients' pain.
, 百拇医药
[Key words] Flexible hollow probe; Perianal and perirectal abscess; Diagnosis and treatment
肛门直肠周围脓肿一般是指肛门腺感染化脓蔓延到肛管直肠周围形成的脓肿，简称肛周脓肿。该病是肛肠科临床常见疾病，占外科疾病的3%~5%，占肛肠疾病的8%~25%，任何年龄均可发病，发病年龄高峰在20~40岁，男女发病比例为(3~4)∶1[1]，如此高的发病率，以及其治疗方法的多样性，使其成为肛肠科治疗的焦点之一，而且该病发病率高，影响了广大人群的健康。肛门直肠周围脓肿发病年龄高峰在青壮年，影响着社会生产的主要劳动力，因此肛周脓肿的诊治具有重要的社会意义[2]。有相当部分肛周脓肿的患者，由于病情复杂加之治疗不当，将会转化成肛瘘甚至复杂肛瘘，患者常常在遭受多次手术之苦的同时，还要承担较重的经济负担及精神压力，所以肛门直肠周围脓肿一直是临床治疗的重点和难点，尤其是变成高位复杂肛瘘后将会使治疗更加困难[3]。本项目将自主研制的“可弯曲空心探针[4]”(该探针已获批国家专利，专利号为：ZL200620118331.6)应用于肛周脓肿诊治中，与传统诊治方法进行对比观察及分析，现报道如下：
1 资料与方法
1.1 一般资料
将我院诊断为肛门直肠周围脓肿的120例患者随机分成实验组和对照组。实验组60例，其中，男46例，女14例；年龄18~60岁，平均35岁；病程2 d~6个月，平均10 d；低位肛周脓肿39例，高位肛周脓肿21例。对照组60例，其中，男45例，女15例；年龄17~62岁，平均34岁；病程2 d~6.5个月，平均11 d；低位肛周脓肿40例，高位肛周脓肿20例。两组年龄、性别、病程、脓腔范围及深度和临床特点比较，差异无统计学意义(P > 0.05)，具有可比性。, http://www.100md.com(郭明浩)
[关键词] 可弯曲空心探针；肛门直肠周围脓肿；诊治
, 百拇医药
[中图分类号] R657.15 [文献标识码] B [文章编号] 1673-7210(2012)01(b)-152-03
Application of flexible hollow probe in the radical resection of perianal and perirectal abscess
GUO Minghao
Department of Anorectal, the South District of Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102618, China
[Abstract] Objective To explore the application of flexible hollow probe in radical resection in the treatment of perianal and perirectal abscess, and discuss the innovation, practicality and novelty, and further prove its value in clinical valor. Methods 120 patients diagnosed with perianal and perirectal abscess in our hospital were randomly divided into experiment group and control group, and each group had 60 patients. Patients in experiment group were treated with combination of flexible hollow probe with dyeing and contrast, while patients in control group were treated with routine probe. Some indicators such as operative time, primary curative rate, recurrence rate, treatment course, anal control function and pain of patients were observed. Then statistical analysis was conducted. Results All patients of experiment group were cured primarily and the primary curative rate was 100.0%. While in control group, 52 cases were cured primarily and the primary curative rate was 86.7%.The mean operative time in experiment group was (25±3) min, while in control group was (50±6) min. The treatment course in experiment group was (27±5) d, while in control group was (37±4) d. Statistical analysis showed that the differences of operative time, curative rate and treatment course between the two groups were different significantly (P < 0.01). And the experiment group showed a better effect. Conclusion Flexible hollow probe has the advantage of innovation, practicality and novelty in diagnosis and the treatment of perianal and perirectal abscess, it can relieve the patients' pain.
, 百拇医药
[Key words] Flexible hollow probe; Perianal and perirectal abscess; Diagnosis and treatment
肛门直肠周围脓肿一般是指肛门腺感染化脓蔓延到肛管直肠周围形成的脓肿，简称肛周脓肿。该病是肛肠科临床常见疾病，占外科疾病的3%~5%，占肛肠疾病的8%~25%，任何年龄均可发病，发病年龄高峰在20~40岁，男女发病比例为(3~4)∶1[1]，如此高的发病率，以及其治疗方法的多样性，使其成为肛肠科治疗的焦点之一，而且该病发病率高，影响了广大人群的健康。肛门直肠周围脓肿发病年龄高峰在青壮年，影响着社会生产的主要劳动力，因此肛周脓肿的诊治具有重要的社会意义[2]。有相当部分肛周脓肿的患者，由于病情复杂加之治疗不当，将会转化成肛瘘甚至复杂肛瘘，患者常常在遭受多次手术之苦的同时，还要承担较重的经济负担及精神压力，所以肛门直肠周围脓肿一直是临床治疗的重点和难点，尤其是变成高位复杂肛瘘后将会使治疗更加困难[3]。本项目将自主研制的“可弯曲空心探针[4]”(该探针已获批国家专利，专利号为：ZL200620118331.6)应用于肛周脓肿诊治中，与传统诊治方法进行对比观察及分析，现报道如下：
1 资料与方法
1.1 一般资料
将我院诊断为肛门直肠周围脓肿的120例患者随机分成实验组和对照组。实验组60例，其中，男46例，女14例；年龄18~60岁，平均35岁；病程2 d~6个月，平均10 d；低位肛周脓肿39例，高位肛周脓肿21例。对照组60例，其中，男45例，女15例；年龄17~62岁，平均34岁；病程2 d~6.5个月，平均11 d；低位肛周脓肿40例，高位肛周脓肿20例。两组年龄、性别、病程、脓腔范围及深度和临床特点比较，差异无统计学意义(P > 0.05)，具有可比性。, http://www.100md.com(郭明浩)