低位切开结合分次紧线挂线法治疗高位肛瘘疗效观察

Observation of low incision combined with fractional tightening line and hanging line in the treatment of high anal fistula

目的比较两种不同挂线方法对高位肛瘘的疗效。方法随机将80例高位肛瘘患者分为治疗组和对照组,治疗组采用低位切开结合分次紧线挂线法,对照组采用高位肛瘘切开挂线法,比较两组疗效。结果治疗组在总有效率、术后肛门括约肌功能方面优于对照组(P<0.05)。结论低位切开结合分次紧线挂线法治疗高位肛瘘疗效确切,术后并发症少,便于临床推广。

Objective To compare the efficacy of two different hanging line methods for the treatment of high anal fistula. Method 80 cases of high anal fistula patients were randomly divided into treatment group and control group,treatment group adopted low incision combined with fractional tightening line and hanging line,control group adopted high anal fistula incision hanging line. The effects of two groups were compared. Results The total effective rate,postoperative anal sphincter function in treatment group is more superior to that control group（P〈0.05）. Conclusion Low incision combined with fractional tight line hanging line may be effective,less postoperative complications in the treatment of high anal fistula,and it is easy to popularized.