中医挂线配合对口引流疗法治疗高位肛瘘的临床研究

Clinical Research on Ligation Therapy of Traditional Chinese Medicine and Thread Drawing Method in Treatment of High and Fistula

目的探析对于高位肛瘘的患者选择高位挂线低位部分切开配合对口引流疗法治疗的效果。方法方便选取该院2013年9月—2015年9月收治的94例高位肛瘘患者,将其随机分为治疗组和对照组,各47例,对照组采取传统高位挂线低位全部切开术治疗,治疗组选择高位挂线低位部分切开配合对口引流疗法治疗,比较两组治疗复发情况、伤口愈合时间、创面面积。结果两组治愈率均100.00%,治疗组复发率2.13%与对照组8.51%比较差异有统计学意义(P<0.05);治疗组伤口愈合时间(24.87±5.33)d、创面面积(15.73±5.22)cm2与对照组比较差异有统计学意义(P<0.05)。结论对于高位肛瘘的患者选择高位挂线低位部分切开配合对口引流疗法治疗的效果显著,伤口愈合快速,复发率低,且创面面积小,值得临床推广。

Objective To study the effect of Ligation Therapy of Traditional Chinese Medicine and Thread drawing method in treatment of high and fistula. Methods Convenient selection 94 cases of patients with high and fistula admitted and treated in our hospital from September 2013 to September 2015 were selected and randomly divided into two groups with 47 cases in each,the control group were treated with traditional low total incision high thread-drawing, while the treatment group were treated with low partial incision high thread-drawing and thread drawing method, and the recurrence rate, wound healing time and wound area of the two groups were compared. Results Both group cure rate 100.00% the difference in the recurrence rate between the treatment group and the control group had statistical significance（2.13% vs 8.51%）（P〈0.05）, and the differences in the wound healing time（24.87±5.33）d and wound area（15.73±5.22）cm^2between the two groups had statistical significance（P〈0.05）. Conclusion The treatment effect of low partial incision high thread-drawing and thread drawing method for patients with high and fistula is obvious, and the wound healing is rapid with low recurrence rate and small wound area, and it is worth clinical promotion.