瘘管隧道法切除一期缝合术治疗肛瘘患者的效果

Effects of fistula tunnel excision and primary suture in treatment of patients with anal fistula

目的:观察瘘管隧道法切除一期缝合术治疗肛瘘患者的效果。方法:选取84例肛瘘患者,按随机数字表法分为对照组和观察组各42例。对照组行肛瘘切除缝合术,观察组采用瘘管隧道法切除一期缝合术,比较两组临床疗效、创口愈合时间、瘢痕面积和并发症发生率。结果:观察组治疗总有效率为97.62%,高于对照组的80.95%,差异有统计学意义(P<0.05);观察组内口、外口愈合时间均短于对照组,瘢痕面积小于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为7.14%,低于对照组的26.19%,差异有统计学意义(P<0.05)。结论:瘘管隧道法切除一期缝合术治疗肛瘘患者可提高治疗总有效率,缩短创口愈合时间,缩小瘢痕面积,以及降低术后并发症发生率,效果优于肛瘘切除缝合术治疗。

Objective:To investigate effects of fistula tunnel excision and primary suture in treatment of patients with anal fistula.Methods:84 patients with anal fistula,who were treated in the hospital from January 2019 to January 2020,were selected as the research objects,and were divided into control group and observation group according to the random number table method,42 cases in each.The control group underwent anal fistula resection and suture,while the observation group underwent fistula tunnel resection and primary suture.The clinical efficacy,wound healing time,scar area and incidence of adverse reactions were compared between the two groups after the treatment.Results:The total effective rate of treatment in the observation group was 97.62%,which was higher than 80.95%in the control group,and the difference was statistically significant(P<0.05).The wound healing times of the low and high anal fistulas in the observation group were(7.04±1.76)d and(13.56±3.40)d,respectively,which were shorter than the control group of(8.85±2.43)d and(16.30±4.18)d;the scar area of the observation group was(4.24±0.57)cm2,which was smaller than(5.49±1.66)cm2 of the control group;and the differences were statistically significant(P<0.05).Further,the incidence of postoperative adverse reactions in the observation group was 7.14%,which was lower than 26.19%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The fistula tunnel excision and primary suture in the treatment of the patients with anal fistula can improve the total effective rate of treatment,shorten the wound healing time of low and high anal fistulas,reduce the scar area,and reduce the incidence of postoperative adverse reactions.Moreover,it is superior to anal fistula resection and suture.