外科手术治疗复杂性肛瘘患者临床疗效分析

Clinical efficacy of surgical treatment in patients with complex anal fistula

目的探讨比较不同外科手术治疗复杂性肛瘘患者的临床疗效。方法选取复杂性肛瘘患者120例，随机分为2组，对照组60例采用传统切开挂线法，治疗组60例采用切缝挂线术。结果两组疗效对比治疗组总有效率为91．67％，对照组为78．33％，治疗组疗效明显优于对照组（P〈0．05）；两组患者术后创面愈合时间差异无显著性（P〉0．05）。结论治疗组在治愈和术后并发症方面明显优于对照组．切缝挂线术是治疗复杂性肛瘘的理想方法。

Objective To compare the different surgical treatments of complex anal fistula in patients with cancer. Methods We chose complex anal fistula 120 patients and they were randomly divided into 2 groups, 60 cases of control group treated with conventional incision line method, 60 cases of treatment group were treated with slotted hang surgery. Results The total effective rate was 91.67% in treatment group, 78.33% in control group, treatment group were significantly better than the control group （P 〈0.05）; postoperative wound healing time was no significant difference between two groups（P〉0.05 ）. Conclusion The total effective rate and postoperative complications of the treatment group is higher than the control group, Slit hung surgery for complex anal fistula is an ideal method.