分段切开多重挂线术治疗高位复杂性肛瘘的临床研究

Segmental Incision and Multi-thread-drawing in the Treatment of High Complex Anal Fistula：Clinical Study

为观察分段切开、多重挂线术治疗高位复杂性肛瘘的临床疗效，将75例高位复杂性肛瘘随机分为两组，治疗组44例采用分段切开、多重挂线术治疗；对照组31例采用传统切开挂线术治疗，并对两组进行对比观察。结果显示，治疗组与对照组愈显率分别为95．5％和93．5％（P〉0．05），但两组间的术后疼痛程度、肛门功能情况及创面愈合时间有显著性差异，治疗组优于对照组（P〈0．05，P〈0．01）。结果表明，在治疗高位复杂性肛瘘时分段切开、多重挂线术与传统切开挂线术相比，具有手术操作简单，对组织损伤小，患者痛苦小、疗程短、肛门功能保护好等优点，该术式的应用，使得高位复杂性肛瘘的治疗更加安全、有效。

In order to investigate the clinical therapeutic effect of the procedure （segmental incision and multi thread-drawing） in the treatment of high complex anal fistula, authors divided the 75 patients with this disease into two groups：the treatment group（ n =44） was subject to above-mentioned procedure,controlled group（ n = 31） to routine incision thread-drawing, then the outcome of both groups was compared each other. As results, the curative and excellent response rate in treatment group and controlled one was 95.50% and 93.5%（ P 〉0.05） ,respectively;but in postoperative pain,healing time of wound and function of anus there was significant difference（ P 〈0.05） ,treatment group was superior to controlled group（ P 〈0.05, P〈0.01）,which has such advantages as simpler manipulation,less trauma of tissue, milder pain of patients,shorter treatment course, and better protecting anal function, and so on; thus the procedure is more safe and effective for treating high complex anal fistula.