主灶切开挂线支管旷置加中药坐浴治疗高位复杂性肛瘘临床研究

Clinical Study on the Treatment of High Complicated Anal Fistula by the Focal Cutting Seton Putting Aside of Branch Pipe Combine with a Hip Bath of TCM

目的:观察主灶切开挂线、支管旷置加中药坐浴治疗高位复杂性肛瘘的临床疗效。方法:74例高位复杂性肛瘘患者随机分为对照组36例和治疗组38例。治疗组采用主灶切开挂线、支管旷置加中药坐浴疗法,对照组采用切开挂线加PP水坐浴。观察两组治愈率、复发率、疼痛程度、持续时间、平均疗程及肛门功能。结果:两组近期治愈率均100%;一次性治愈率治疗组为97.4%,对照组为91.6%,两组一次性治愈率比较,差异有统计学意义(P<0.05)。随访2 a,治疗组复发率为2.6%,对照组为8.3%,两组比较,差异有统计学意义(P<0.05)。治疗组疼痛程度、持续时间、平均疗程及肛门功能评价均优于对照组(P<0.05)。结论:主灶切开挂线、支管旷置加中药坐浴疗法治疗高位复杂性肛瘘,既有愈合快、复发率低、瘢痕小等优点,又能保护肛门括约肌功能。

Objective：To observe the clinical effects of high complicated anal fistula by the focal cutting seton putting aside of branch pipe combine with a hip bath of TCM. Methods：74 patients were randomly divided into control group （36 cases）and treatment group（38 cases）. The treatment group is giving focal cutting seton putting aside of branch pipe combine with a hip bath of TCM,while the control group was giving focal cutting seton and hip bath with PP. Then observe the curative rate, recurrence rate, pain degree, duration, course of treatment and function of anus of the two groups. Results ：All are 100% of the curative rate. The curative rate of single use is 97.4% in the treatment group, while the control group is 91.6% , The difference has statistical significance（ P 〈 O. 05 ）. 2 a of follow-up visit, the recurrence rate in the treatment group is 2.6% , while the control group is 8.3%, The difference has statistical significance（ P 〈 0. 05）. The pain degree, duration, course of treatment and the function of anus of the treatment group are all superior to the control group （P 〈 0.05）. Conclusion：High complicated anal fistula by the focal cutting seton putting aside of branch pipe combine with a hip bath of TCM are quick healing,low recurrence rate, and small scar, and as well can orotect the anal sphincter function.