主管切开挂实线支管挂浮线引流治疗高位复杂性肛瘘的临床效果

Clinical study of incisions and floating-line drainage in the treatment of high complex anal fistula

目的:探讨主管切开挂实线支管挂浮线引流治疗高位复杂性肛瘘的临床疗效。方法:200例患者随机分为观察组与对照组,每组200例,观察组患者采用主管切开挂实线支管挂浮线引流治疗,对照组患者采用常规切开挂线术治疗,观察两组患者的治疗效果。结果:观察组患者采用主管切开挂实线支管挂浮线引流治疗方式,患者的整体效果要优于对照组患者;观察组高位复杂性肛瘘患者的整体疼痛状况要优于对照组(P<0.05);观察组患者在6个月的随访中整体复发率为5.00%(5/100),对照组患者在6个月的随访中整体复发率为9.00%(9/100),观察组患者的复发率低于对照组(P<0.05)。结论:主管切开挂实线支管挂浮线引流治疗高位复杂性肛瘘的临床治愈率高,患者疼痛感轻且复发率较低,值得在临床上进行推广。

Objective：To explore the clinical effect of incisions and floating - line drainage in the treatment of high complex anal fistula. Methods： 200 patients were randomly divided into the observation group and the control group. The observation group was treated with incisions and floating- line drainage while the control group was treated with routine incisions, with the clinical effect observed. Results： The therapeutic effect in the observation group was better than that of the control group and the patients in the observation group had better pain - remission. During the 6 - month follow - up, the overafl recurrence rate in the observation group was 5. O0 % （ 5/100 ） , which was lower than that of the control group （9. O0 % ） （9/100）, the difference being statistically significant （ P 〈 O. 05 ）. Conclusion： Incisions and floating -line drainage has high clinical cure rate, light pain and low recurrence rate in treating the patients with high complex anal fistula, worthy to be popularized in clinical application.