中药灌洗联合经阴道瘘皮瓣修补术对直肠阴道瘘患者生活质量的影响

目的：观察中药灌洗联合经阴道瘘皮瓣修补术对直肠阴道瘘（ RVF）患者生活质量的影响。方法取我院收治的直肠阴道瘘患者50例，依据治疗方案不同分为治疗组与对照组，各25例，2组均采用经阴道瘘皮瓣修补术治疗，术前常规阴道、直肠准备；治疗组于术前5d给予本院自拟中药灌洗方（苦参、蛇床子、白鲜皮等），1次/d；2组术后均给予常规处置，对比2组1次手术修补成功率，并采用诺丁汉健康调查问卷（ NHP ）评价患者术后生活质量改善情况。结果术后NHP评分治疗组患者生活质量改善优于对照组（ P﹤0.05）。结论中药灌洗联合经阴道瘘皮瓣修补术可有效提高RVF患者术后生活质量。

Chinese medicine lavage in combined with transvaginal fistula flap repair on the living qualities in patients with rectovaginal fistula

Objective To observe the effect traditional Chinese medicine lavage in combined with transvaginal fistula flap repair on the living qualities in patients with rectovaginal fistula( RVF). Methods A total of 50 patients with RVF who were admitted in our hospital were included in the study and divided into the traditional Chinese medi-cine group and the control group according to different treatment protocols with 25 cases in each group. The patients in the two groups were given the transvaginal fistula flap repair. Conventional vaginal and bowel preparations before oper-ation were performed. The patients in the observation group were given self-made traditional Chinese medicine lavage ( sophora flavescens,fructus cnidii,cotex dictamni,rhizome smilacis glabrae,phellodendron amurense,each 15g;capsi-cum annuum,6g,decoction),one vaginal lavage each day. The patients in the two groups were given conventional treatments after operation. The therapeutic effect in the two groups was compared. NHP was used to evaluate the im-provement of living qualities after operation. Results NHP scores showed that the improvement of living qualities in the traditional Chinese medicine group was significantly superior to that in the control group( P﹤0 . 05 ). Conclusion Traditional Chinese medicine lavage in combined with transvaginal fistula flap repair can effectively enhance the postoperative living qualities in patients with RVF.