虚实结合挂线法与传统实挂线法治疗高位肛瘘患者的效果比较

Comparison of effects of virtual and solid combined hanging line method and traditional solid thread-ligating method in treatment of patients with high anal fistula

目的:比较虚实结合挂线法与传统实挂线法治疗高位肛瘘患者的效果。方法:选取112例高位肛瘘患者为研究对象,按照随机数字表法分为观察组与对照组各56例。对照组采用传统实挂线法治疗,观察组采用虚实结合挂线法治疗,比较两组术后1个月临床疗效,术后1、7 d视觉模拟评分法(VAS)评分,创面愈合时间和术后6个月复发率。结果:术后1、7 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组术后创面愈合时间为(25.08±2.61)d,明显短于对照组的(43.52±4.80)d,差异有统计学意义(P<0.05);两组治疗总有效率和复发率比较,差异均无统计学意义(P>0.05)。结论:虚实结合挂线法与传统实挂线法治疗高位肛瘘患者的治疗总有效率和复发率相当,但采用虚实结合挂线法治疗高位肛瘘患者可降低术后VAS评分、缩短创面愈合时间,效果优于实挂线法。

Objective:To observe effects of virtual and solid combined hanging line method and traditional solid thread-ligating method in treatment of patients with high anal fistula.Methods:112 patients with high anal fistula were selected as the research objects,and were divided into observation group and control group according to the random number table method,each with 56 cases.The control group was treated with the traditional solid thread-ligating method,while the observation group was treated with the virtual and solid combined hanging line method.The clinical efficacy 1 month after the surgery,the visual analogue scale(VAS)scores 1 and 7 days after the surgery,the wound healing time and the recurrence rate 6 months after the surgery were compared between the two groups.Results:1 and 7 days after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The postoperative wound healing time of the observation group was(25.08±2.61)days,which was significantly shorter than the control group of(43.52±4.80)days,and the difference was statistically significant(P<0.05).However,there were no statistically significant differences in the total effective rate and the recurrence rate between the two groups(P>0.05).Conclusions:The virtual and solid combined hanging line method and the traditional solid thread-ligating method in the treatment of the patients with high anal fistula have the same total effective rate and recurrence rate.However,the former can reduce the postoperative VAS score and shorten the wound healing time.Moreover,it is superior to the solid thread-ligating method.