内口切开联合瘘道胶管引流术治疗低位复杂性肛瘘临床观察

The clinical observation of internal opening incision combined with tube drainage in the treatment of low complexity anal fistula

目的探讨内口切开联合瘘道胶管引流术治疗低位复杂性肛瘘的临床效果及应用价值。方法将60例符合入组条件的低位复杂性肛瘘患者分为治疗组(内口切开联合瘘道胶管引流术组30例)和对照组(切开引流术组30例),分别实施手术治疗。对2组患者的临床症状评分、肛门功能评分、疤痕面积、创面愈合时间及卫生经济学指标等进行对照分析。结果治疗组术中出血量、术后疼痛积分、创面愈合时间与对照组比较差异均有统计学意义(P<0.05),2组肛门功能评分、住院时间和住院总费用比较差异无统计学意义(P>0.05)。结论治疗组在减少术后并发症、保护肛门形态及功能、缩短创面愈合时间等方面优于对照组,内口切开联合瘘道胶管引流术治疗低位复杂性肛瘘安全有效。

Objective To discuss the effect and application value of-internal opening incision combined with tube drainage in the treatment of low complexity anal fistula clinical. Methods Using parallel, randomized and controlled trial method, 60 patients with the condition low complex anal fistula were divided into treatment group （ internal opening incision combined with tube drainage group, n = 30） and control group （ incision group, n = 30）. Operation treatment was implemented, respectively. Patients with clinical symptom score, anal function score, scar area, wound healing time and health economics index were comparative analysis in the two groups. Results There were significant difference of the amount of intraoperative bleeding, postoperative pain score and the wound healing time in the treatment group compared with those in the control group （ P 〈 0.05 ）. There was no statistical significance of anal function score, duration of hospitalization and total hospitalization costs in two groups （P 〉 0.05）. Conclusion Treatment group is superior to the con-trol group in reducing postoperative complications, protecting the anal function and morphology, shortening the wound healing time. In-ternal opening incision combined with description of the drainage tube in the treatment of low complexity anal fistula is safe and effective.