摘要
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.
出处
《中国肛肠病杂志》
2011年第7期38-40,共3页
Chinese Journal of Coloproctology
关键词
肛瘘
分段切开
挂线疗法
Anal fistula
Segmental incision
Thread-drawing