两种手术方法治疗复杂性肛瘘的对比观察

Contrast Observation on Two Procedures for Complex Anal Fsitula

为对比主灶切开对口引流方法与切开挂线方法治疗复杂性肛瘘的临床疗效．对67例复杂性肛瘘患者施行手术治疗，其中采用主灶切开对口引流方法（治疗组）36例，采用切开挂线方法（对照组）31例，比较两组近期疗效（治愈、好转、未愈）、复发情况、创面愈合时间、局部疼痛时间、后遗症发生情况（肛门潮湿、肛门部分失禁、肛门变形）等指标。结果显示，两组近期疗效无统计学意义，但在创面愈合时间、疼痛时间、复发率、后遗症方面治疗组优于对照组（P〈0．05）。结果表明，主灶切开对口引流方法治疗复杂性肛瘘疗效可靠，损伤小，愈合快，并能保持肛管形态和肛门括约肌功能，减少复发和后遗症的发生。

The objective of this study was to compare two procedure for complex anal fistula,i, e main lesion incision,counter drainage and incision thread-drawing. In the 67 cases,36 were treated with the former therapy,as treatment group;while other 31 with the later therapy,as controlled group. The short-term efficacy（cured, better, non-response）, recurrence status, healing time of wound, local pain time and sequelae（anal moisture, part incontinence of anus, deformation of anus）, etc were observed after operation. As results,there was no significant difference in short-term curative effect, but in healing time~ pain time, recurrence rate and incidence of sequelae,etc,treatment group was all superior to controlled group（ P 〈0.05）. These indicate that the main lesion incision,counter drainage for complex anal fistula has advantages such as feasible curative effect,less trauma and faster recovery,etc,and can maintain the form of anus and the function of anal sphincter,reduce recurrence and sequelae.