主管切开挂线支管隧道式切除术治疗复杂性肛瘘的临床观察

Incision ＆ Thread-drawing for Main Tract and Tunnel Resection for Branch ones in the Treatment of Complex Anal Fistula ： Clinical Observation

为了探讨主管切开挂线、支管隧道式切除术治疗复杂性肛瘘的疗效，将72例复杂性肛瘘患者随机分为治疗组和对照组，每组各36例。治疗组采用主管切开挂线、支管隧道式切除术治疗，对照组采用传统的瘘管切开术治疗，比较2组患者一期治愈率和创口愈合时间。术后随访6个月，统计术后复发率以及肛门控便功能。结果显示，2组患者一期治愈率及术后6个月复发率比较均无显著性差异（P〉0．05），但治疗组创口愈合时间短于对照组，肛门控便功能Wexner评分优于对照组（P〈0．05）。结果表明，主管切开挂线支管隧道式切除术治疗复杂性肛瘘具有创伤小、创口愈合时间短、对肛门控便功能影响小等优点。

This study was to explore the effect of incision ＆ thread-drawing for main tract and tunnel resection for branch ones in the treatment of complex anal fistula, randomly divided 72 patients with this fistula into treatment group and control one,36 cases for each,which the former received above-mentioned procedure,meanwhile the latter still received routine fistula-tract incision procedure; then compared the primary curative rate,wound healing time, recurrence rate of 6-month following up after surgery as well as anal controlled-fecal function between the two groups. As results, in primary curative rate and recurrence rate at the 6th month after surgery there was all no statistical difference between the two groups（ P 〉0.05） ;but in wound healing time and the Wexner score ratings on anal controlled fecal function the former was shorter than and superior to the latter（ P 〈0.05）.Results show that above-mentioned procedure used in the former in the treatment of complex anal fistula has such merits as little trauma, short healing time of wound,less impact on anal controlled-fecal function, etc.