“高位隧道法剥离、低位切除术”治疗高位复杂性肛瘘临床观察

Clinical Observation of High Tunnel-Stripping and Low Ectomy in the Treatment of High Complex Anal Fistula

目的:观察"高位隧道法剥离、低位切除术"治疗高位复杂性肛瘘的临床疗效。方法:治疗组36例采用"高位隧道法剥离、低位切除术",对照组36例采用传统"高位挂线、低位切除术",进行临床对比观察及随访。结果:两组患者均完全治愈,随访6个月以上无复发,且两组患者均无肛门功能损伤。但是,两组间的术后创面愈合速度、疼痛及渗液程度存在显著差异。结论:"高位隧道法剥离、低位切除术"治疗高位复杂性肛瘘能加速创面愈合,缩短疗程,并且改善患者局部疼痛、渗液等不适症状。

Objective：To observe the clinical effect of high tunnel-stripping and low ectomy on high complex anal fistula. Meth- ods ：36 cases in the treatment group were treated with high tunnel-stripping and low ectomy, the other 36 cases in control group were treated with high seton and low ectomy. The clinical observation and follow-up were compared between both groups. Results： All cases were cured in the two groups. No relapse was found in following more than six months. No postoperative damage of anal function was found in the two groups. There were significant differenees in healing time, level of postoperative pain and wound exu- dation. Conclusion： High tunnel-stripping and low ectomy on high complex anal fistula accelerates wound healing, shortens treat- ment course, and reduces postoperative pain and wound exudation.