切开挂线袋形缝合术治疗低位复杂性肛瘘的临床研究

Clinical research of low complex anal fistula treated by TCM ligation therapy combined with marsupialization

目的:评价切开挂线袋形缝合术治疗低位复杂性肛瘘的疗效及并发症。方法:将108例低位复杂性肛瘘患者随机分为试验组和对照组,每组54例,试验组采用切开挂线袋形缝合术,对照组采用切开挂线术。观察两组疗效、手术时间、术中出血量、术后住院时间、切口愈合时间、术后疼痛、术后尿潴留、切口瘢痕以及肛门功能。结果:试验组治愈52例,对照组治愈53例,两组疗效的差异无统计学意义。两组术后切口疼痛NRS评分、尿潴留评分及术后住院时间差异无统计学意义。试验组手术时间、术中出血量显著多于对照组(P<0.05),但切口愈合时间、切口瘢痕、肛门功能评分优于对照组(P<0.05)。结论:切开挂线袋形缝合术能有效保护肛门功能,治疗低位复杂性肛瘘疗效确切,切口愈合时间短、瘢痕小。

Objective: To evaluate the curative effect and complications of low complex anal fistula treated by TCM ligation therapy combined with marsupialization. Methods: A total of 108 cases of low complex anal fstula were randomly divided into experimental group and control group, with 54 cases each. The experimental group was treated by TCM ligation therapy combined with marsupialization, while the control group was treated by TCM ligation therapy. To compare the efficacy, operation time, intraoperative blood loss, postoperative hospital stay, wound healing time, postoperative incision pain and uroschesis, surgical scar, and anal function between the two groups were observed. Results: A total of 52 cases cured in the experimental group while 53 cases cured in the control group,the difference was not statistically significant in efficacy between the two groups.There were no significant differences in NRS score of postoperative incision pain, urinary retention and hospital stay between the two groups. The operative time and intraoperative blood loss in the experimental group were more than the control group(P<0.05), while the wound healing time, surgical scar and anal function score were better than the control group(P<0.05). Conclusion: TCM ligation therapy combined with marsupialization could effectively protect the anal function, and had an accurate effect with short healing time and small surgical scar on the treatment of low complex anal fistula.