高位挂线低位切开减底缝合术治疗高位肛瘘的疗效观察

High Thread-drawing and Low Incision Decreased Suture for High Anal Fistula

为观察和评价高位挂线低位切开减底缝合术治疗高位肛瘘的疗效，将118例高位肛瘘患者分为治疗组60例和对照组58例，治疗组采用高位挂线低位切开减底缝合术，手术切口采用减底缝合处理；对照组采用高位挂线低位切开全开放引流术，手术切口不做特殊处理，创口敞开引流。观察两组术后疗效、创面愈合时间、并发症、复发率。结果显示，治疗组术后创面愈合时间短于对照组（P〈0．01），在总体疗效、并发症、复发率方面两组无显著性差异（P〉0．05）。结果表明，高位挂线低位切开减底缝合术治疗高位肛瘘，疗效确切，术后创面愈合时间短，无明显并发症。

This paper was to observe and evaluate the clinical efficacy of high thread-drawing and low inci- sion decreased suture in treating high anal fistula. The 118 cases with high anal fistula were divided into treatment group （ n ：60） and control group （ n =58）. The former underwent high thread-drawing and low incision decreased suture,in which decreased suture was used to manage the surgical incision. The latter re- ceived high thread-drawing and low incision for open drainage, with the surgical incision receiving no spe- cial treatment, and the incision was opened to drainage. Both groups were observed for postoperative effica- cy, wound surface healing time, complications and recurrence rate. The results showed that compared with the control group,the treatment group had a significantly shorter wound healing time（ P 〈0. 01）, but