挂线法勒断肛尾韧带治疗高位蹄铁型肛瘘36例疗效观察

Thread-drawing Tie-broke Anococcygeal Ligament in the Treatment of 36 Cases of High Horseshoes-shaped Anal Fistula

为观察挂线法勒断肛尾韧带治疗高位蹄铁型肛瘘的临床疗效，将72例高位蹄铁型肛瘘患者随机分为治疗组和对照组，每组36例，治疗组采用挂线法勒断肛尾韧带治疗，对照组采用切开挂线法治疗。观察两组患者治愈率、创面愈合时间、术后复发率及肛门功能状况等。结果显示，治疗组在治愈率、创面愈合时间、复发率方面优于对照组（P〈0．05），肛门功能评价两组差异无统计学意义。结果表明，挂线法勒断肛尾韧带治疗高位蹄铁型肛瘘安全，效果好。

In order to investigate the clinical effect of thread-drawing tie-broke anococcygeal ligament in the treatment of high horseshoes-shaped anal fistula,authors randomly divided 72 patients of this fistula into treatment group （36 cases） and control group（36 cases）;the former received thread drawing tie broke ano- coccygeal ligament, the latter received incision thread-drawing ; then, curative rate, healing time, postopera- tive recurrence status,and function of anus,etc of both groups were observed and compared.As results,the first three items observed in treatment group were all superior to control group（ P〈0.05）, but in the function of anus there was no statistical difference（ P 〉0.05）.Results show that thread-drawing tie-broke anococcygeal ligament for high horseshoes-shaped anal fistula has good efficacy,and is safe.