置管冲洗辅助切开挂线治疗复杂性肛瘘的临床观察

Postoperative recovery of anal fistula by incision and thread joint catheter lavage

目的观察置管冲洗辅助切开挂线治疗复杂性肛瘘的疗效。方法选取2015年1月至2015年6月期间于本院接受治疗的复杂性肛瘘患者119例,分成观察组(n=60)和对照组(n=59)。对照组给予切开挂线治疗,观察组采用置管冲洗辅助切开挂线治疗。于治疗结束后6个月时统计治疗效果,观察并比较两组术后康复情况,住院总时间和住院花费,以及治疗结束6个月时的疗效。结果观察组的创口肿胀消褪、伤口无渗液、疼痛消失、创口完全愈合的时间分别为(6.41±2.63)d、(5.21±2.54)d、(11.46±4.54)d、(14.91±6.49)d,均短于对照组时间,差异均有统计学意义(均P<0.05)。观察组住院总时间及住院花费分别为(10.43±3.96)d及(9.51±2.12)千元,均显著少于对照组,差异均有统计学意义(均P<0.05)。治疗结束6个月,观察组无肛瘘复发病例,对照组复发率为10.17%(6/59),差异有统计学意义(P<0.05)。结论相比传统切开高位挂线术,置管冲洗辅助切开挂线治疗复杂性肛瘘更利于加快术后康复进程、减轻患者经济负担,总体治疗效果更优。

Objective To study the postoperative recovery of anal fistula treated by incision and thread joint catheter lavage.Methods 119 patients with anal fistula treated in our hospital from January,2015 to June,2015 were assigned intotreatment group（n = 60） and control group（n = 59）. The control group was treated with incision threading,and the treatment group was treated with the catheter irrigation. The recovery of the two groups was observed. Results During the postoperative rehabilitation process,the swelling of the wound faded,wound no exudate,pain disappeared in the treatment group were（6.41 ± 2.63） d,（5.21 ± 2.54） d,（11.46 ± 4.54） d and（14.91 ± 6.49） d,respectively,which were significantly shorter than those of the control group（P〈0. 05）. The total time of hospitalization and hospitalization expenses were（10.43 ± 3.96） d and（9.51 ± 2.12） thousand,respectively,in the treatment group,which was significantly better than the control group（P〈0. 05）. There was no recurrence of anal fistula in the treatment group and the recurrence ratein the control group was 10.17%（P〈0. 05） After the end of treatment,the effective rate in the treatment group was 96.67%,which was significantly higher than that of the control group（P〈0. 05）.Conclusion Compared with the traditional incision of the high thread,incision and thread joint catheter lavage can significantly shorten the postoperative recovery time,and can significantly improve the therapeutic effect,while reducing the recurrence rate and significantly improve the quality of surgical treatment.