虚挂对口引流术治疗高位单纯性肛瘘的临床效果

Clinical Effect of Loose Seton Counterpart Drainage on High Simple Anal Fistula

目的探讨虚挂对口引流术治疗高位单纯性肛瘘的临床效果。方法将80例高位单纯性肛瘘患者按随机数字表法分为2组:治疗组40例采用虚挂对口引流术治疗;对照组40例采用传统实挂线疗法治疗。比较2组的临床疗效、创面愈合时间、术后创面疼痛程度及肛门功能情况与复发情况。结果2组总有效率均为100%,术后均无复发。治疗组创面愈合时间较对照组显著缩短(P<0.01),术后创面疼痛程度、肛门功能情况均明显优于对照组(P<0.05)。结论虚挂对口引流术在减轻患者术后疼痛、保护肛门功能及缩短创面愈合时间方面明显优于传统实挂线疗法。

Objective To investigate the clinical effect of loose seton counterpart drainage on high simple anal fistula.Methods Eighty patients with high simple anal fistula were randomly assigned to receive either loose seton counterpart drainage(treatment group,40 patients)or conventional thread-drawing therapy(control group,40 patients).Clinical efficacy,wound healing time,postoperative wound pain,anal function and recurrence were compared between the two groups.Results The total effective rate was 100%and no recurrence occurred in both groups.Compared with control group,loose seton counterpart drainage shortened wound healing time(P<0.01),reduced postoperative wound pain(P<0.05),and improved anal function(P<0.05).Conclusion Loose seton counterpart drainage is superior to conventional thread-drawing therapy for relieving postoperative pain,protecting anal function and shortening wound healing time.