改良挂线术治疗低位肛瘘53例分析

Analysis of 53 cases of low anal fistula with modified thread-drawing therapy

目的分析低位肛瘘采用改良挂线术治疗的临床疗效。方法106例低位肛瘘患者,采用双盲法分为对照组与实验组,各53例。对照组患者采取常规肛瘘切开术进行治疗,实验组患者采取改良挂线术治疗。比较两组患者住院时间、手术时间、术中血流量、创面愈合时间、肛门功能评分以及治疗效果。结果实验组患者住院时间(5.73±0.66)d、术中血流量(30.51±7.65)ml、创面愈合时间(24.21±2.42)d、肛门功能评分(0.08±0.34)分均优于对照组的(6.38±1.21)d、(50.81±10.13)ml、(25.19±1.85)d、(3.25±1.42)分,差异具有统计学意义(P<0.05)。两组手术时间比较,差异无统计学意义(P>0.05)。实验组治疗总有效率96.23%高于对照组的83.02%,差异具有统计学意义(P<0.05)。结论对于低位肛瘘患者采取改良挂线术进行治疗,疗效显著,值得临床推广。

Objective To analyze the clinical efficacy of modified thread-drawing therapy on low anal fistula.Methods A total of 106 patients with low anal fistula were divided into control group and experimental group by double-blind method,with 53 cases in each group.The control group was treated by conventional incision of anal fistula,and the experimental group was treated by modified thread-drawing therapy.The hospitalization time,operation time,amount of intraoperative hemorrhage,wound healing time,anal function score and treatment effect were compared between the two groups.Results The hospitalization time(5.73±0.66)d,amount of intraoperative hemorrhage(30.51±7.65)ml,wound healing time(24.21±2.42)d and anal function score(0.08±0.34)points of the experimental group were better than those of the control group(6.38±1.21)d,(50.81±10.13)ml,(25.19±1.85)d and(3.25±1.42)points,and the difference was statistically significant(P<0.05).There was no statistically significant difference in operation time between the two groups(P>0.05).The total effective rate of treatment 96.23%of the experimental group was higher than that of the control group 83.02%,and the difference was statistically significant(P<0.05).Conclusion Modified thread-drawing therapy shows remarkable efficacy for patients with low anal fistula,and it is worthy of clinical promotion.