虚挂线结合拖线术治疗高位复杂性肛瘘的临床疗效

The Clinical Effect of Virtual Thread-drawing Combined with Thread-drawing in the Treatment of High complex Anal Fistula

目的探讨虚挂线结合拖线术治疗高位复杂性肛瘘的临床疗效。方法选取2018年1月—2019年12月该院收治的82例高位复杂性肛瘘患者为研究对象,按照随机数字表法,分为对照组与观察组,各41例。对照组采用高位挂线低位切开术治疗,观察组采用虚挂线结合拖线术治疗,比较两组治疗效果。结果两组治疗总有效率(100.00%VS 100.00%)与复发率(2.44%VS 2.44%)差异无统计学意义(χ2=0.000,P>0.05);观察组与对照组术后VAS评分[(4.89±0.77)分VS(6.12±0.85)分]、肛门失禁评分[(5.13±1.52)分VS(7.35±1.68)分](t=29.422、6.274,P<0.05);观察组与对照组术后治愈时间[(25.50±5.41)d VS(31.52±8.64)d](t=3.781,P<0.05);观察组与对照组创面面积[(6.17±1.20)cm2 VS(9.31±1.85)cm2]、瘢痕面积[(4.13±0.58)cm2 VS(6.98±1.47)cm2](t=9.118、11.548,P<0.05)。结论虚挂线结合拖线术治疗高位复杂性肛瘘的临床疗效确切,且可使术后疼痛减轻,加快康复进程,有效保护患者肛门功能。

Objective To explore the clinical efficacy of virtual thread hanging combined with thread dragging in the treatment of high complex anal fistula.Methods A total of 82 patients with high complex anal fistula admitted to the hospital from January 2018 to December 2019 were selected as research object,and divided into a control group and an observation group according to the random number table method,with 41 cases in each group.The control group was treated with high-position thread-drawing and low-position incision.The observation group was treated with virtual thread-drawing combined with thread-drawing.The treatment effects of the two groups were compared.Results The total effective rate(100.00%VS 100.00%)and recurrence rate(2.44%VS 2.44%)between the two groups were not statistically different(χ2=0.000,P>0.05);the observation group and the control group had postoperative VAS scores[(4.89±0.77)points VS(6.12±0.85)points],anal incontinence score[(5.13±1.52)points VS(7.35±1.68)points](t=29.422,6.274,P<0.05);observation group and control group postoperative healing time[(25.50±5.41)d VS(31.52±8.64)d](t=3.781,P<0.05);wound area of observation group and control group[(6.17±1.20)cm2 VS(9.31±1.85)cm2],scar area[(4.13±0.58)cm2 VS(6.98±1.47)cm2](t=9.118,11.548,P<0.05).Conclusion The combination of thread-drawing and thread-drawing has a definite clinical effect in the treatment of high complex anal fistula,and can reduce postoperative pain,speed up the recovery process,and effectively protect the patient's anal function.