不同手术方法治疗高位复杂性肛瘘的临床效果

Clinical Effect of Different Surgical Methods in the Treatment of High Complex Anal Fistula

目的传统切开挂线疗法、瘘管旷置术治疗高位复杂性肛瘘的临床效果。方法 2017年6月-2018年8月选取本院高位复杂性肛瘘患者84例,随机分为对照组(42例)与观察组(42例),对照组给予传统切开挂线疗法治疗,在对照组基础上,观察组给予瘘管旷置术治疗,观察患者治疗效果、术后7天及10天创面分泌物评分、切口愈合时间及并发症发生率。结果与对照组相比,观察组治疗有效率高,术后7天及10天创面分泌物评分低,切口愈合时间短,并发症发生率低(P<0.05)。结论给予高位复杂性肛瘘患者传统切开挂线疗法联合瘘管旷置术治疗,能提高治疗有效率,降低创面分泌物评分及并发症发生率,减少切口愈合时间,效果较好,值得借鉴。

Objective To evaluate the clinical effect of traditional incision and thread hanging therapy and fistula open position in the treatment of high complex anal fistula. Method selection on June 6, 2017-August 2018 in our hospital patients with high complexity anal fistula of 84 cases were randomly divided into control group(42 cases) and observation group(42 cases) and control group given conventional incision hangs line therapy to treat, in the control group, on the basis of observation group was given for the treatment of fistula kuang set, the therapeutic effects were observed score 10 days, after 7 days and wound secretion, incision healing time and complications. Results compared with the control group, the observation group had high treatment efficiency, low wound secretion score 7 and 10 days after surgery, short incision healing time and low complication rate (P<0.05). Conclusion the treatment of high complex anal fistula with traditional incision and thread hanging therapy combined with open fistula can improve the treatment efficiency, reduce the wound secretion score and complication rate, and reduce the wound healing time.