虚挂线结合拖线术治疗高位复杂性肛瘘的临床观察

Clinical Observation of Loose Seton Therapy and Thread-dragging in Treatment of High Complex Anal Fistula

目的:观察虚挂线结合拖线术治疗高位复杂性肛瘘的临床疗效。方法:将120例高位复杂性肛瘘患者随机分成两组各60例。治疗组采用虚挂线结合拖线术,对照组采用高位挂线低位切开术。观察两组治愈率、随访6个月的复发率、术后疼痛评分、瘢痕及创面面积、住院及治愈时间、肛门失禁评分。结果:两组治愈率、术后6个月复发率比较,差异均无统计学意义(P>0.05)。治疗组术后疼痛评分、瘢痕及创面面积、住院及治愈时间、肛门失禁评分均低于对照组,差异均有统计学意义(P<0.01)。结论:虚挂线结合拖线术治疗高位复杂性肛瘘有较好疗效,可明显减轻患者疼痛,缩短治愈时间,较好保护肛门功能。

Objective：To observe the clinical efficacy of the combination of loose seton therapy and thread-dragging in the treatment of high complex anal fistula. Methods：The 120 patients with high complex anal fistula were randomly divided into two groups, 60 cases in each. The treatment group was treated with loose seton therapy and thread-dragging,and the control group was treated with low incision and high seton therapy. Cure rate, recurrence rate 6 months follow-up, and postoperative pain scores, scar and wound area,hospitalization and healing time, and anal incontinence score were observed. Results：There was no statistical difference on cure rate and 6 month follow-up recurrence rate between two groups（P〉 0.05）. The treatment group showed lower postoperative pain scores, scar and wound area, hospitalization and healing time, anal incontinence score than the control group, with statistically significant difference（P〈0.01）. Conclusion： Loose seton therapy and thread-dragging in treatment of high complex anal fistula can significantly reduce pain and shorten healing time, with better protection of anal function.