内镜引导下隧道式刨削切除闭锁式引流术治疗高位肛瘘

Treatment of High Anal Fistula with the Technology of Endoscopic Guided Shaving Excision and Vacuum Sealing Drainage

目的观察内镜引导下隧道式刨削切除闭锁式引流术治疗高位肛瘘的临床效果。方法将130例高位肛瘘患者随机分为2组,治疗组采用内镜引导下隧道式刨削切除闭锁式引流术进行治疗,对照组采用低位切开高位挂线旷置术。结果 2组患者在创面愈合时间、术后疼痛指数、肛管压力测定等方面治疗组优于对照组(P<0.05),差异均有统计学意义。结论内镜引导下隧道式刨削切除闭锁式引流术治疗高位肛瘘,痛苦小、疗程短,能最大限度维护肛门功能。

Objective To observe the treatment of high anal fistula with the technology of endoscopic guided shaving excision and vacuum sealing drainage. Methods The 130 high anal fistula patients were randomly divided into two groups： treatment group was treated with the technology of endoscopic guided shaving excision and vacuum sealing drainage,control group was treated with incision and drainage surgery. Results Two groups of patients with significant difference in wound healing time,pain scores,determination of the anal canal pressure,etc. treatment group was better than control group（ P〈0. 05）,the difference has statistical significance. Conclusion The technology of endoscopic guided shaving excision and vacuum sealing drainage is effective on the treatment of high anal fistula,with less pain and fast recovery,and can retain the anal function as far as possible.