旷置挂线治疗高位肛瘘的临床观察

Clinical Observation of Thread-Drawing and Lay-Open Therapy for High Complex Anal Fistula

目的探讨旷置挂线术治疗高位肛瘘的临床应用价值。方法将80例高位复杂性肛瘘患者随机分为治疗组和对照组各40例,治疗组采用旷置挂线术,对照组采用传统的低切高挂术;观察患者术后疼痛程度、创面愈合时间、脱线时间和肛门括约肌功能。结果两组术后疼痛程度、创面愈合时间、脱线时间以及术后对肛门括约肌功能情况比较,治疗组均明显优于对照组(P<0.01)。结论旷置挂线术治疗高位肛瘘,痛苦小,疗程短,能有效地保护肛门括约肌功能,是较理想的手术方法。

Objective To evaluate the clinical value of thread-drawing and lay-open therapy in the treatment of high complex anal fistula. Methods Eighty cases of high complex anal fistula were randomly allocated into treatment group and control group. The former group was treated with thread-drawing and lay-open therapy, and the latter group was treated with traditional low cutting drainage and high thread drawing therapy. The postoperative complications and period of treatment were observed. Results Significant difference was observed between the two groups in the severity of pain, the wound healing time, the thread removal time and the injury of anal sphincter function. Conclusion This therapy is an ideal method in the treatment of high anal fistula for its less pain, shorter treatment course and effective protection of the anal function.