（临床研究）·论著·.1211.临床医学工程2023年9月第30卷第9期精准设计创口锁边缝合法在低位单纯性肛瘘术后创面愈合中的临床研究桂鹏，李康平，王霄，张禄芳*，唐凯（深圳市龙岗区第三人民医院肛肠科，广东深圳518115）【摘要】目目的探讨精准设计创口锁边缝合法在低位单纯性肛瘘术后创面愈合中的临床效果。方法选择2021年10月至2022年9月于我院行手术治疗的低位单纯性肛瘘患者70例，随机分为两组各35例。对照组行低位单纯性肛切除术，观察组在对照组基础上采用精准设计创口锁边缝合法。对比两组的临床疗效、围术期指标、疼痛评分（HPOI）及睡眠质量评分（PSQI)、并发症。结果观察组治疗总有效率高于对照组（P<0.05）。与对照组相比，观察组手术时间较长，切口宽度及创面愈合时间较短（P<0.05)。观察组术后HPOI及PSQI评分、并发症发生率均低于对照组（P<0.05)。结论精准设计创口锁边缝合法治疗低位单纯性肛瘘能够有效改善患者的创面愈合状况，缩短创面愈合时间，减轻创面疼痛感，改善睡眠质量，且并发症较少。【关键词】】低位单纯性肛瘘；精准设计创口锁边缝合法；疼痛评分；睡眠质量评分中图分类号：R657.1+6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.09.1211ClinicalStudyofPreciselyDesignedWoundLockingSutureonWoundHealingafterLowSimpleAnalFistulaSurgerGUIPeng,LIKangping,WANGXiao,ZHANGLufang,TANGKai(TheThirdPeople'sHospitalofLonggangDistrict,Shenzhen518115,China;*Correspondingauthor:ZHANGLufang,E-mail:2219903849@qg.com)[Abstract]ObjectiveToexploretheclinicaleffectofpreciselydesignedwoundlockingsutureonwoundhealingafterlowsimpleanalfistulasurgery.Methods70patientsundergoinglowsimpleanalfistulasurgeryinourhospitalfromOctober2021toSeptember2022wereselectedandrandomlydividedintotwogroups,with35casesineachgroup.Thecontrolgroupreceivedlowsimpleanalfistularesection,andtheobservationgroupreceivedpreciselydesignedwoundlockingsutureonthebasisofcontrolgroup.Theclinicalefficacy,perioperativeindicators,painscore(HPOI),sleepqualityscore(PSQI)andcomplicationsofthetwogroupswerecompared.ResultsThetotaleffectiverateoftreatmentintheobservationgroupwashigherthanthatinthecontrolgroup(P<0.05).Comparedwiththecontrolgroup,thesurgicaltimeoftheobservationgroupwaslonger,...
