肛瘘挂线术中两种术式的临床观察

Clinical observation on treating anal fistula by hanging line surgery

目的:探讨高位肛瘘挂线术中挂紧线术式与挂浮线术式的临床疗效,为临床提供参考。方法:选取2010年2月-2013年2月于我院肛肠科住院需接受挂线术的73例高位肛瘘患者,应用完全随机数字表分为两组,对照组35例采用挂紧线术式,观察组38例采用挂浮线术式,观察两组术后疮面愈合情况及肛门功能状况。结果:术后观察组疮面愈合平均愈合时间为(17.38±2.56)d,对照组疮面平均愈合时间为(23.55±3.12)d,观察组愈合时间少于对照组,两组对比统计学差异有意义(P<0.05),测定两组术后2个月肛门直肠压力,观察两组肛管静息压和肛管收缩压较术前变化情况,观察组较术前无显著性差异(P>0.05),对照组较术前差异性显著(P<0.05)。结论:高位肛瘘挂线术中,挂浮线术式术后疮面恢复快,可以较好地保留肛门功能。

Objective： To explore clinical efficacy of hanging line surgery on anal fistula. Methods： 73 patients were randomly divided into two groups, the control group was given hang tight line surgical; another was given hang float line surgical. Results：After treatment, the average wound healing time was （17.38±2.56）d in the observation group, shorter than （23.55±3.12）d in the control, the difference was statistically significant （P〈0.05）. After 2 months, anorectal pressure, changes of anal resting pressure and systolic blood pressure compared with the preoperative were observed, there was no significant difference in the observation group, and with significant difference in the control （P〈0.05）. Conclusion：Hang float line surgical was confirmed with quick wound recovery, and retain the anal function.