双子参洗液联合切开挂线法治疗小儿肛瘘疗效观察

Study on anal fistula in children treated by Shuangzishen lotion and incision seton therapy

目的观察双子参洗液联合切开挂线法治疗小儿肛瘘的临床效果。方法 2013年5月至2015年2月大庆市让胡路区人民医院肛肠科收治住院的肛瘘患儿60例,随机分为观察组和对照组各30例。两组患儿均行切开挂线疗法,对照组术后常规生理盐水冲洗,观察组采用双子参洗液冲洗。观察两组治疗效果及患儿并发症,包括疼痛、瘙痒、渗液以及感染,跟踪随访1年,统计复发率。结果观察组治疗总有效率为93.33%(28/30),显著高于对照组73.33%(22/30),差异有统计学意义(P<0.05);观察组患儿疼痛、瘙痒并发症发生率显著低于对照组,差异有统计学意义(P<0.05);两组患儿均跟踪随访1年,观察组复发2例(6.67%),显著低于对照组复发9例(30.00%),差异有统计学意义(P<0.05)。结论切开挂线联合熏洗坐浴治疗小儿肛瘘临床疗效显著。

Objective To study the clinical effect of Shuangzishen lotion combined with incision seton therapy for infantile anal fistula. Methods Totally 60 cases of anal fistula were randomly divided into study group and control group, with 30 eases in each group. The patients in two groups underwent incision seton therapy. We used routine flushing with saline after surgery in the control group, while Shuangzishen lotion flushing in the study group. The patients in the two groups were observed concerning the treatment effect, adverse reaction and recurrence rate. Results In the study group the total effective rate was 93.33%, while in the control group it was 73.33%, which showed that the total efficiency of the treatment group was sig- nificantly higher than the control group（P〈0.05）. The incidence of itching and pain in the observation group were significantly lower than that in the control group（P〈0.05）. The two groups of patients were followed up for 1 year, and in the observation group there were 2 cases of recurrence（6.67%）, while in the control group 9 cases（30 %）, the recurrence rate in the observation group being significantly lower than the control group（P〈0.05）. Conclusion The clinical curative effect of incision seton therapy combined with fu- migating and washing is significant in the treatment of anal fistula in children.