探析瘘管剥离引流内口缝扎术用于高位单纯肛瘘治疗的临床效果

Explore the Clinical Effect of Fistula Stripping and Drainage and Internal Suture in the Treatment of High Simple anal Fistula

目的探究高位肛瘘患者使用瘘管剥离引流内口缝扎术治疗的临床疗效。方法取本院高位单纯肛瘘患者90例纳入临床研究,将其按照手术方法分为研究组与对照组,每组45例,对比两组临床效果。结果(1)两组患者临床疗效对比:治疗组患者临床治愈率显著高于对照组,两组对比有统计学意义(P<0.05)。(2)两组患者VAS评分对比:治疗组患者术后1 d、3 d及15 dVAS评分均显著低于对照组(P<0.05);两组患者治疗后3 d、15 dVAS评分均显著低于术后1 d,两组对比有统计学意义(P<0.05)。(3)两组患者创面愈合时间对比:治疗组患者术后平均创面愈合时间为(12.57±0.98)d,对照组患者术后平均创面愈合时间为(19.51±0.81)d。治疗组患者术后平均创面愈合时间显著短于对照组,两组对比有统计学差异(P<0.05)。(4)研究组患者术后肛门功能wexner评分显著优于对照组(P<0.05)。结论瘘管剥离引流内口缝扎术在治疗高位单纯肛瘘患者中具有较高的临床治愈率,且术后疼痛感较轻,患者创面愈合时间短,具有临床应用价值。

Objective To explore the clinical effect of the treatment of high anal fistula with fistula stripping and drainage.Methods Ninety patients with high simple anal fistula in our hospital were included in the clinical study.They were divided into study group and control group according to the operation method,45 patients in each group,and the clinical effects of the two groups were compared.Results(1)Comparison of clinical efficacy between the two groups:the clinical cure rate of the treatment group was significantly higher than that of the control group,with statistical difference between the two groups(P<0.05).(2)Comparison of VAS scores between the two groups:the VAS scores of the treatment group at 1d,3d and 15 d after operation were significantly lower than those of the control group(P<0.05).The VAS scores of the two groups at 3d and 15 d after treatment were significantly lower than those of 1d after operation,with statistical difference between the two groups(P<0.05).(3)The wound healing time of the two groups was compared:the average wound healing time of the treatment group was(12.57±0.98)d,while that of the control group was(19.51±0.81)d.The average wound healing time of the treatment group was significantly shorter than that of the control group(P<0.05).(4)The wexner score of anal function in the study group was significantly better than that in the control group(P<0.05).Conclusion In the treatment of high-level simple anal fistula,fistula stripping drainage and internal mouth suture has higher clinical cure rate,less postoperative pain,shorter wound healing time,and has clinical application value.