袋形缝合法在女性前位肛瘘切开术中的临床应用

Clinical Application of Pouched Suture in Incision of Anterior Anal Fistula in Women

为观察袋形缝合法在女性前位肛瘘切开术中的应用效果，将35例女性前位肛瘘患者分为治疗组和对照组，治疗组16例采用瘘管切除创面袋形缝合术治疗，对照组19例采用传统的瘘管切除创面旷置术治疗。观察两组术后患者创面愈合时间、创面面积、瘢痕面积、术后创面出血程度、创面疼痛、肛门功能评分和随访复发情况等疗效指标。结果显示，术后治疗组创面愈合时间明显短于对照组，创面面积及愈合后瘢痕面积明显小于对照组，术后治疗组创面出血明显少于对照组。结果表明，女性前位肛瘘瘘管切除创面袋形缝合术，在保护肛门功能的前提下，能加快创面愈合，减少术后出血，缩短住院时间，降低治疗费用。

To observe the clinical efficacy of pouched suture in incision of anterior anal fistula in women,35 cases were divided into treatment group and control group.Treatment group（ n = 16） received resection of fistula tract with wound pouched suture, while control group（ n = 19） received conventional resection of fistula tract and wound exclusion.Both groups were observed for wound healing time, wound area, scar area, postoperative bleeding, pain, scores of anal function and recurrence.The results showed that wound healing time was obviously shorter in treatment group than in control group, wound area and scar area were obviously small in treatment group,treatment group had less amount of bleeding than the controls.It is concluded that pouched suture in incision of anterior anal fistula in women can protect the function of the anus,accelerate wound healing, reduce postoperative bleeding, shorten hospital stay and reduce medical cost.