选择性缝合法在肛瘘术中的应用疗效

Efficacy of Selective Suture Method Applied to the Procedure for Anal Fistula

为探讨选择性缝合法在肛瘘术中的应用疗效，将80例肛瘘患者随机分为两组，各40例，一组单纯给予肛瘘切除或低切高挂术治疗（对照组），另一组在对照组手术治疗基础上给予选择性缝合（治疗组），对比观察两组患者疗救。结果显示，两组一期治愈率和复发率差异无统计学意义，P〉0．05；治疗组创面愈合时间明显短于对照组，P〈0．05；治疗组术后并发症少于对照组，P〈0．05。结果表明，肛瘘切除或低切高挂术中选择性缝合治疗肛瘘不会影响疗效，而且可以缩短创面愈合时间，更好地保护肛门功能。

This study was to investigate the efficacy of selective suture method used in the procedure for a- nal fistula. The 80 patients with anal fistula were randomly divided into two groups, 40 cases for each group. Control group received simply resecting anal fistula or low incision ＆ high thread-drawing, while treatment group was added selective suture based on the operative treatment as control group;then the cur- ative effects of both groups were observed and compared each other. As results, in primary curative rate and recurrence rate there was no statistical differences between both groups（ P 〉0.05）;but in healing time of wound surface treatment group was significantly shorter than control group（ P 〈0.05）;in incidence of postoperative complication treatment group was less than control group（ P 〈0.05）. Results show that in the procedure of low incision ＆high thread-drawing adding selective suture for treating anal fistula not on- ly does not influence the therapeutic effect, but can shorten healing time of wound surface,and more beter protect the function of anus.