Clinical Observation of Ultrasonic Debridement Combined with Biofeedback Therapy on Postoperative Wound Healing and Recovery of Sphincter Function in Perianal Abscess
JIA Guopu, LIU Xiaoli, et al
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China
Abstract：Objective: To investigate the effect of ultrasound debridement therapy combined with biofeedback therapy on postoperative wound healing and sphincter function recovery of perianal abscess. Methods: 90 cases of patients underwent perianal abscess in the hospital from September 2016 to October 2017 were enrolled in this study and were randomly divided into routine treatment group, ultrasonic debridement group and ultrasonic debridement combined with biofeedback therapy group. Patients in the conventional treatment group were treated with saline debridemen, patients in Ultrasonic debridement group were given ultrasound debridement treatment, and patients in the combined group were given biofeedback on the basis of ultrasound debridement. The wound healing rate, the wound healing time, the first bacterial clearance rate and the anorectal dynamics were compared between the three groups after treatment. Results: The total effective rate in the combined treatment group was higher than that in the ultrasound group and the conventional group (P<0.05). The carrion off time, epithelial time, wound healing time of patients in ultrasonic debridement group and combined treatment group were significantly shorter than the conventional treatment group (P<0.05). inwhich the wound healing time of the combined treatment group was significantly shorter than that of the ultrasound debridement group (P<0.05). After 14 days, the scores of wound pain, secretory score, granulation score and tissue edema were significantly lower in the patients with ultrasound debridement and combination therapy than those in the conventional treatment group (P<0.05). The first bacterial clearance rates in patients with ultrasound debridement group and combination therapy group were significantly higher than that in routine treatment group (P<0.05);The first time bacterial clearance rate in the combined treatment group was significantly higher than that in the ultrasound group and the conventional group (P < 0.05). The rectal resting pressure in the combined treatment group was significantly lower than that of the other two groups, and the maximal systolic pressure, defecation and distress threshold and the maximum tolerance threshold were significantly higher than those of the other two groups (P<0.05). Conclusion: Ultrasonic debridement combined with biofeedback can effectively shorten the healing time of postoperative wound in patients with perianal abscess and improve postoperative anal rectal dynamics.
贾国璞, 刘晓丽, 陈建华. 超声清创联合生物反馈治疗对肛周脓肿术后创面愈合及括约肌功能恢复的临床观察[J]. 河北医学, 2018, 24(8): 1346-1350.
JIA Guopu, LIU Xiaoli, et al. Clinical Observation of Ultrasonic Debridement Combined with Biofeedback Therapy on Postoperative Wound Healing and Recovery of Sphincter Function in Perianal Abscess. HeBei Med, 2018, 24(8): 1346-1350.
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2018, Vol. 24 
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