部分切开缝合挂线术治疗高位复杂性肛瘘的效果观察

High Complex Anal Fistula Treated with the Procedure of Partially Incising, Suturing and Thread-drawing： Effect Observation

为观察部分切开缝合挂线术治疗高位复杂性肛瘘临床效果，将60例高位复杂性肛瘘患者随机分为2组，各30例，对照组行切开缝合引流术，观察组则运用部分切开缝合挂线术，对2组的治疗效果进行比较分析。结果显示，2组均顺利完成手术，观察组的治愈率明显高于对照组（P〈0．05）；术后并发症观察组发生率低于对照组（P〈0．05）。在住院时间、创面愈合时间以及术中出血量方面观察组均优于对照组（P〈0．05）。结果表明，采用部分切开缝合挂线术治疗高位复杂性肛瘘，具有治愈率高、并发症少、住院时间短等优点。

This study was to observe the clinical effect of the procedure of partially incising, suturing and thread-drawing in the treatment of high complex anal fistula,randomly divided 60 cases of this fistula into observation group（30 cases） and control group（30 eases） ;the latter received incising, suturing and drainage procedure,meanwhile the former just partially incising, suturing and thread-drawing procedure;the both group＇s effect were compared.As results,the two procedure were smoothly performed on two group respec- tively; but in curative rate, in postoperative complication, and in hospital stay time, wound-surface healing time and intraoperative bleeding volume,the former was significantly higher than,lower than, and superior to the latter（all, P〈0.05）.Results show that procedure of partially incising,suturing and thread-drawing for treating high complex anal fistula has such merits as higher curative rate, less complication and shorterhospitalization time, etc.