高位复杂性肛瘘肛门小切口根治术研究

Study on Operation of Anus Small Cut Radical Correction about Elevation Complexity anal Fistula

目的探讨高位复杂性肛瘘肛门小切口根治术与传统(低切高挂)手术方法治疗高位复杂性肛瘘的临床效果。方法 80例患者采用随机数字法分为试验组(高位复杂性肛瘘肛门小切口根治术)和治疗组(传统的低切高挂术)各40例,观察两组患者术中、术后一般情况及并发症的发生情况。结果试验组手术时间、术中出血量均明显少于对照组(P<0.05)。试验组住院时间、恢复工作时间明显短于对照组(P<0.05)。试验组术后疼痛指数、尿潴留、肛门坠胀、切口面积及术后切口渗血发生率明显少于对照组(P<0.05)。试验组复发率以及治愈率与对照组比较差异无统计学意义(P>0.05)。试验组肛门失禁情况明显优于对照组(P<0.05)。结论高位复杂性肛瘘肛门小切口根治术优于传统方法(低切高挂),值得临床应用。

Objective To investigate the effect of anus small cut radical correction operation and tradition operation about elevation complexity anal fistula.Methods 80 cases were divided into the observation group and the control group by way of random number with 40 cases in each group.The general state of health and complications in and after operation were observed.Results The operation time,hemorrhage volume,length of stay,return to work time,the rate of aches-and-pains index,urine retention,anus unwell,professional jargon area and capillary hemorrhage in the observation group were fewer than those in the control group,with significant difference respectively（P 0.05）.The relapse rate and recovery rate in the observation group after treatment were the same to those in the control group,with no significant difference respectively（P 0.05）.The anal incontinence in the observation group after treatment wase superior to that in the control group,with significant difference（P 0.05）.Conclusion The effect of operation of anus small cut radical correction about elevation complexity anal fistula is superior to tradition operation,which is worthy of clinical application.