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目的探讨小梭形造口术后引流治疗尿道旁腺囊(脓)肿的临床效果。方法选择2010年1月—2015年4月该院收治的女性尿道旁腺囊(脓)肿患者80例,随机分为两组,各40例,其中观察组实施小梭形造口引流术治疗,对照组行囊肿切除术,对所有患者实施1年的电话随访,比较两组手术时间、术中出血及住院时间,并统计两组出现并发症情况。结果观察组手术时间为(11.3±2.1)min,短于对照组的(15.6±2.3)(P<0.05),术中出血为(3.6±0.2)m L,少于对照组的(5.3±0.3)m L(P<0.05),住院时间为(1.6±0.2)d,短于对照组的(2.5±0.3)d(P<0.05),观察组发生术后严重疼痛及尿道狭窄的比例为2.5%,显著低于对照组的22.5%(P<0.05),两组术后复发比例差异无统计学意义(P>0.05)。结论小梭形造口引流术治疗女性尿道旁腺囊(脓)肿,手术时间短,出血少,术后恢复快,且复发率低。
Objective To investigate the clinical effect of small fusiform postoperative drainage for the treatment of paraurethral cyst (pus) swelling. Methods Eighty female patients with urethral cysts (pus) who were admitted to our hospital from January 2010 to April 2015 were randomly divided into two groups (n = 40 in each group). The patients in the observation group were treated with fusiform dacryocystorhinostomy The control group underwent cyst excision. One-year telephone follow-up was performed on all patients. The operation time, intraoperative bleeding and hospital stay were compared between the two groups. Complications were also observed in the two groups. Results The operative time in the observation group was (11.3 ± 2.1) min, shorter than that in the control group (15.6 ± 2.3) (P <0.05), and the intraoperative bleeding was (3.6 ± 0.2) m L less than the control group (5.3 ± 0.3) ) (P <0.05). The length of hospital stay was (1.6 ± 0.2) d, shorter than that of the control group (2.5 ± 0.3) d (P <0.05). The ratio of severe pain and urethral stricture in the observation group was 2.5 %, Which was significantly lower than that of the control group (22.5%, P <0.05). There was no significant difference in the recurrence rate between the two groups (P> 0.05). Conclusions Small fusiform ostomy for the treatment of female urethral pouch (pus) has shorter operative time, less bleeding, faster recovery and lower recurrence rate.