断管过桥术治疗复杂性肛瘘的疗效观察

＂Cut Tube ＆ Pass Bridge＂ Procedure in the Treatment of Complex Anal Fistula：Observation on Effect

为观察断管过桥术治疗复杂性肛瘘的临床疗效，将68例高位复杂性肛瘘患者随机分为治疗组和对照组，每组34例。治疗组采用断管过桥术治疗，对照组采用切开挂线术治疗。结果显示，治疗组平均创面愈合时间为（20±2．3）d，对照组为（22±2．5）d，治疗组平均创面愈合时间短于对照组（P〈0．05）。治疗组治愈率94．1％，对照组治愈率88．2％，治疗组治愈率高于对照组（P〈0．05）。术后肛门功能评分治疗组明显优于对照组（P〈0．05）。结果表明，断管过桥术治疗高位复杂性肛瘘可缩短疗程，提高疗效，减轻对肛门功能的损伤。

This study was to investigate the clinical effect of ＂cut tube ＆ pass bridge＂ procedure for corn plex anal fistula. The 68 patients with high complex anal fistula were randomly divided into treatment group and control one, n =34 for each;the former received ＂cut tube ＆ pass bridge＂ procedure,while the latter received incision thread-drawing.As results, in the former average wound surface healing time, cura- tive rate were significantly shorter, higher than that in the latter （20 2.3 vs 22 ± 2.5 days, P 〈0.05 ; 94.1 vs 88.2%, P 〈0.05） ;and after surgery the anal function of the former was significantly superior to that of the latter（ P 〈0.05）.Results show that ＂cut tube ＆ pass bridge＂ procedure for high complex anal fistula can shorten treatment course, enhance effect and reduce the injury to function of anus.