复杂性肛瘘高位挂线配合低位对口引流临床观察

Clinical observation of complex anal fistula with high hanging line and low level counterpart drainage

目的:探究高位挂线配合低位对口引流治疗复杂性肛瘘的临床疗效。方法:2017年12月-2019年12月收治复杂性肛瘘患者92例,随机分两组,各46例。对照组采用经传统高位挂线配合低位全部切开术治疗;观察组采用经高位挂线配合低位部分切开对口引流法治疗。比较两组创伤面积、伤口愈合时间、治愈率及复发情况。结果:观察组治疗后创伤面积及伤口愈合时间均显著低于对照组,差异有统计学意义(P<0.05);两组治愈率比较,差异无统计学意义(P>0.05);观察组复发率显著低于对照组,差异有统计学意义(P<0.05)。结论:复杂性肛瘘患者接受高位挂线配合低位对口引流法治疗,创伤面积较小,可加快伤口愈合时间,且复发率较低。

Objective:To explore the clinical effect of complex anal fistula with high hanging line and low level counterpart drainage.Methods:From December 2017 to December 2019,92 patients with complex anal fistula were selected and randomly divided into two groups with 46 cases in each group.The control group was treated with traditional high hanging line and low total incision.The observation group was treated with high hanging line and low part incision and counterpart drainage.We compared the wound area,wound healing time,healing rate and recurrence between the two groups.Results:In the observation group,after treatment,the wound area and wound healing time were significantly lower than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the cure rate between the two groups(P>0.05).The recurrence rate of the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:High hanging line and low level counterpart drainage is used to treat complex anal fistula,the wound area is small,it can accelerate the wound healing time,and the recurrence rate is low.