对口引流保留皮桥术治疗复杂性肛瘘的临床疗效

The Clinical Efficacy of Retention Drainage for the Treatment of Complicated Anal Fistula of Skin Bridge

目的探讨对口引流保留皮桥术治疗复杂性肛瘘的临床疗效。方法选取江苏省扬中市三茅街道社区卫生服务中心收治的复杂性肛瘘患者60例,按随机数字表法将其分为观察组和对照组,各30例。观察组患者采用对口引流保留皮桥术,对照组患者采用肛瘘切开术,比较两组患者的临床疗效、创面愈合时间及随访6个月的复发率。结果观察组患者治疗总有效率为96.7%,明显高于对照组的70.0%,且创面愈合时间明显短于对照组,复发率明显低于对照组,差异均有统计学意义(均P<0.05)。结论在复杂性肛瘘临床治疗中采用对口引流保留皮桥术,可避免肛门功能损伤,缩短创口愈合时间,降低疾病复发率。

Objective To investigate the clinical efficacy of retention drainage for the treatment of complicated anal fistula skin bridge.Methods Select 60 cases of complex anal fistula patients admitted in the San Mao street community health service center of Yangzhong City,Jiangsu Province,were divided into observation group and control group according to random number table,30 cases in each group.Recurrence rate of patients in the observation group underwent counterparts drainage and keep skin bridge technique.In the control group were treated with anal fistula incision and compared between the two groups of patients with clinical curative effect,wound healing time,follow up 6 months.Results To observe the patients in the treatment group,the total effective rate was 96.7%,significantly higher than that of 70.0% in the control group,and the wound healing time was significantly shorter than that of the control group, the recurrence rate was significantly lower than that of the control group,differences were statistically significant(P<0.05). Conclusion In the clinical treatment of complex anal fistula using counterparts drainage and keep skin bridge technique, can avoid the damage of the anal function,shorten wound healing time,reduce the relapse rate of the disease.