文章摘要

直肠腔内超声动态观察肛瘘术后伤口愈合及临床分析

作者: 1林丽晴, 2邹贤军, 2唐迎春, 1李翔鹏, 1向新
1 武汉市第八医院超声科,武汉 430010
2 武汉市第八医院肛肠科,武汉 430010
通讯: 邹贤军 Email: zoudoctor@126.com
DOI: 10.3978/j.issn.2095-6959.

摘要

目的:研究直肠腔内超声动态观察肛瘘术后伤口愈合情况,以期为临床诊治提供有用信息。方法:回顾性分析2014年10月至2018年12月期间接受手术治疗的200例肛瘘患者临床资料,依据术后是否使用直肠腔内超声分成对照组(80例)与实验组(120例)。实验组患者手术前后开展直肠腔内超声检查,对患者术后伤口愈合效果进行动态观察,参照观察结果为临床指导进一步提供参考;对照组患者术后未开展直肠腔内超声检查,根据临床医师的经验明确是否需进一步开展处理。结果:实验组患者术后瘘管内口处理彻底检出率、瘘管主管处理彻底检出率高于对照组,假性愈合、支管/脓腔残留检出率也有所提高,差异有统计学意义(P<0.05);相较于对照组的(9.6±1.2)d,实验组患者术后伤口愈合时间缩短为(6.8±2.0)d,差异有统计学意义(P<0.05);实验组患者术后愈合延迟、疤痕感染、肛瘘复发发生率低于对照组,差异有统计学意义(P<0.05)。结论:通过直肠腔内超声动态观察肛瘘术后伤口愈合情况,分析超声影像学表现,能为临床后期制定诊疗方案提供指导,降低患者术后肛瘘复发风险,提高患者术后生活质量。
关键词: 直肠腔内超声;动态观察;肛瘘;术后伤口愈合;影像学

Intrarectal ultrasound dynamic observation of wound healing after anal fistula and clinical analysis

Authors: 1LIN Liqing, 2ZOU Xianjun, 2TANG Yingchun, 1LI Xiangpeng, 1XIANG Xin
1 Department of Ultrasound, Eighth Hospital of Wuhan, Wuhan 430010, China
2 Department of Anorectal, Eighth Hospital of Wuhan, Wuhan 430010, China

CorrespondingAuthor: ZOU Xianjun Email: zoudoctor@126.com

Abstract

Objective: To study the dynamic rectal cavity ultrasound observation of wound healing after anal fistula, in order to provide information for clinical diagnosis and treatment. Methods: The clinical data of 200 anal fistula patients who underwent surgical treatment in our hospital from October 2014 to December 2018 were retrospectively divided into 80 cases in the control group and 120 cases in the experimental group according to whether postoperative intrarectal ultrasound was used. The patients in the experimental group carried out intrarectal ultrasound examination before and after the operation, and dynamically observed the wound healing effect of the patients. The observation results provided further reference for clinical guidance; the patients in the control group did not carry out intrarectal ultrasound examination after surgery, according to the clinician’s Experience determines whether further processing is required. Results: In the experimental group, the complete detection rate of postoperative fistula internal treatment and the total detection rate of the fistula supervisor were higher than those in the control group. The rate of pseudohealing and branch/pus cavity residual detection also increased, the difference was statistically significant (P<0.05); compared with (9.6±1.2) d of the control group, the wound healing time of the experimental group was shortened to (6.8±2.0) d, the difference was statistically significant (P<0.05); the experimental group of patients The incidence of delayed healing, scar infection, and recurrence of anal fistula was lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: The dynamic observation of wound healing after anal fistula through intrarectal ultrasound and analysis of ultrasound imaging can provide guidance for the diagnosis and treatment plan in the late clinical period, reduce the risk of recurrence of anal fistula after operation, and improve the quality of life of patients.
Keywords: intrarectal ultrasound; dynamic observation; anal fistula; postoperative wound healing; imaging