不同术式联合中药治疗复杂肛瘘37例

Different Surgical Methods combined with Traditional Chinese Medicine in the Treatment of Complex Anal Fistula for 37 Cases

目的探讨不同术式治疗复杂肛瘘的临床疗效。方法选取2012年1月—2014年12月确诊的复杂肛瘘患者74例为研究对象,随机分为对照组37例,观察组37例,分别采用瘘管旷置术和外切内挂线术联合中药熏洗、换药,记录住院时间、愈合时间、有效率等临床指标及随访9个月,筛查复发率,并比较两组愈合时间、住院时间、有效率及复发率。结果观察组在愈合时间、住院时间、有效率及复发率等方面均优于对照组,两组各指标分别比较均具有统计学意义(P<0.05)。结论外切内挂线术联合中药熏洗治疗复杂肛瘘效果更佳,具有伤口愈合时间短、住院时间少、有效率高、复发率低等诸多优势,是复杂肛瘘治疗中值得应用的临床术式。

Objective To discuss the clinical efficacy of different surgical methods in the treatment of complex anal fistula. Methods74 cases with complex anal fistula were selected from January 2012 to December 2014, who were diagnosed and treated in our hos-pital. They were divided into two groups. 37 cases in the observation group were treated by external resection and seton operation combined with traditional Chinese medicine fumigation. 37 cases in the control group were treated by fistula exclusion. The clinical indicators of the two groups, such as healing time, hospitalization time, effective rate and recurrence rate were recorded and compa-reed. Results The observation group were better than the control group in healing time, hospitalization time, effective rate and recur-rence rate. In the various indicators, the two groups were statistically significant（ P〈0.05）. Conclusion The external resection and seton operation combined with traditional Chinese medicine fumigation is the better treatment. This method has many advantages,such as wound healing time, less hospitalization time, high efficiency and low recurrence rate and so on. It is worthy of clinical surgi-cal application in treatment of complex anal fistula.