低位切开结合引流挂线对高位肛瘘的疗效分析

Analysis the efficacy of low cut combined drainage thread-drawing on high anal fistula

目的探讨低位切开结合引流挂线治疗高位肛瘘的临床疗效。方法选取本院100例高位肛瘘患者,采用随机数表法将其分为试验组与对照组,每组各50例。试验组患者给予低位切开结合引流挂线治疗,对照组患者给予低位切开高位实挂术治疗,术后随访2个月,比较两组患者术后平均创面愈合时间、切口疼痛、肛门功能及疗效。结果试验组患者治愈率为92%(46/50),对照组为90%(45/50),两组比较差异无显著性(P>0.05)。试验组患者术后平均创面愈合时间短于对照组,术后第1、3、5、7、8周疼痛评分均低于对照组,术后1、8周Wexner评分均低于对照组(P<0.05)。结论低位切开结合引流挂线治疗高位肛瘘效果显著,术后患者创面愈合时间、肛门功能保留均优于低位切开高位实挂术,减轻患者术后疼痛,值得临床推广应用。

Objective To evaluate the clinical efficacy of low cut combined drainage in patients with high anal fistula. Method Selected 100 cases of high anal fistula patients in our hospital, according to a random number table method they were divided into experimental group and control group, 50 cases in each group. Experimental group were treated with low cut combined drainage thread-drawing, control group were treated with low cut high real hang. All patients were followed up 2 months, compared the postoperative average healing time, wound pain, anal function and efficacy between the two groups. Result The cure rate was 92%（46/50） in experimental group, control group was 90%（45/50）, there was no significant difference between the two groups（P〈0.05）. The average healing time in experimental group was shorter than control group, patients pain scores in 1, 3, 5, 7, 8 weeks after surgey were lower than control group, and the 1, 8 weeks Wexner scores after surgey were significantly lower than control group（P〉0.05）. Conclusion Low cut combined drainage thread-drawing treatment of high anal fistula with obvious effect, postoperative wound healing time, anal function preservation are better than the low cut high real hang, can reduce postoperative pain, worthy of clinical application.