摘要
目的：为了更好地提高肛瘘的临床疗效，缩短愈合时间，介绍一种治疗肛瘘的手术方法一切除缝合术。并观察切除缝合术治疗低位肛瘘的临床效果．方法：选取我院收治的100例低位肛瘘患者随机分为两组，治疗组采用切除缝合术治疗，对照组用常规方法切开引流术治疗。结果治疗组50例中，其中49例治愈，1例好转；总治愈率为98％，平均愈合时间8．05天。，对照组50例中，其中47例治愈。3倒好转，总治愈率为94％，平均愈合时间17．14天，两组疗效比较差异无显著性（p〉0．05），但平均愈合时间比较差异有显著性（P〈0．01），术后出血、水肿等并发证发生率比对照组少（P〈0．05）。结论：切除缝合术是治疗低位肛瘘最有效的方法，并能减少并发症的发生及保护肛门生理功能。临床值得推广。
Objective To belier improve the clinical efficacy of anal fislula, shorten healing lime, we introduce a method of treatmeutof anal fistula surgery - removal of suture. And observe the removal of suture treatment of low anal fistula results. Methods 100 palients in our hospital in patients with low anal fistula were randomly divided into two groups, the treatment group trealed by excision suture, incision and drainage control group, treatment with conventional methods. 50 patients in the treatment group, 49 palients were cured, i improved; tolal cure tale was 98%, the average healing lime was 8.05 days. Control group of 50 cases, 47 were cured. 3 cases improved, with a total cure rate was 94%, the average healing lime was 17.14 days. difference between the two groups was not stgalificant（P〉 0. 05）, but the average healing lime was significanl difference （P 〈0.01）, bleeding, edema, and certification of the incidence of less than the control group （P 〈0.05）. Conclusion suture removal is the treatment of low anal fistula most effeclive way, and can reduce complications and the protection of anal physiological functions. Clinical worth promoting.
