瘘管内翻结扎治疗肛瘘的临床分析

Clinical analysis of anal fistula treated by fistula varus ligation

目的探讨瘘管内翻结扎术治疗肛瘘的临床疗效。方法将我院2010～2011年符合纳入标准的60名肛瘘患者随机分为两组每组30例,实验组采用瘘管内翻结扎术,对照组采用传统肛瘘切开术,对两组的术后出血量、疼痛缓解时间、尿潴留时间、伤口愈合时间、治疗效果等情况进行比较。结果实验组和对照组病例均全部治愈,差异无统计学意义;但实验组比对照组出血量少、疼痛时间短、尿潴留时间短、伤口愈合时间短(P<0.05)。结论瘘管内翻结扎术治疗肛瘘具有创伤小、恢复快、痛苦少等优点。

Objective To compare the therapeutic effects of fistulavarus ligation and anal fistulotomy. Methods 60 patients from 2010 to 2011 were divided into two groups：30 cases in the test group,30 cases in the control group.Patients in the test group treated with fistula varus ligation,patients in control group treated with anal fistulotomy, comparing blood lost volume,time alleviating pain,urinary retention time,healing time and therapy results.Results There was no statistical significant in the cure rate between two groups,but the blood lost volume,time alleviating pain,urinary retention time and healing time were better in the test group（P0.05）.Conclusion The treatment of anal fistula by fistula varus ligation had the advantage of less damage,quick recovery and less pain.