虚挂线法治疗高位肛瘘的临床效果

Clinical effect of virtual thread hanging method in the treatment of high anal fistula

目的探讨虚挂线法治疗高位肛瘘的临床效果。方法选取我院2018年2月至2020年2月收治的50例高位肛瘘患者作为研究对象,根据随机数字表法将其分为对照组(n=25)和观察组(n=25)。对照组患者采用传统挂线法治疗,观察组患者采用虚挂线法治疗。比较两组患者术后创面愈合时间、瘢痕面积、疼痛程度、肛门功能恢复情况、临床疗效、并发症发生情况及治疗前、后的肛管静息压和最大收缩压。结果观察组术后的创面愈合时间短于对照组,瘢痕面积小于对照组,VAS评分低于对照组,差异具有统计学意义(P<0.05)。观察组术后的肛门功能恢复效果优于对照组,差异具有统计学意义(P<0.05)。两组的治疗总有效率无明显差异(P>0.05)。观察组术后的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组的肛管静息压和最大收缩压无明显差异(P>0.05);治疗后,两组的肛管静息压和最大收缩压均下降,但观察组高于对照组,差异具有统计学意义(P<0.05)。结论传统挂线法治疗和虚挂线法治疗高位肛瘘患者有相似的临床效果,但虚挂线法对患者术后肛门恢复效果更理想,具有良好的治疗安全性,值得临床推广应用。

Objective To explore the clinical effect of virtual thread hanging method in the treatment of high anal fistula.Methods A total of 50 patients with high anal fistula treated in our hospital from February 2018 to February 2020 were divided into control group(n=25)and observation group(n=25)according to the random digital table method.The patients in the control group were treated with traditional thread hanging method,and the patients in the observation group were treated with virtual thread hanging method.The wound healing time,scar area,pain degree,anal function recovery,clinical efficacy,complications,anal resting pressure and maximum systolic pressure before and after treatment were compared between the two groups.Results The wound healing time in the observation group was shorter than that in the control group,the scar area was smaller than that in the control group,and the VAS score was lower than that in the control group,and the differences were statistically significant(P<0.05).The recovery effect of anal function in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total effective rate of treatment between the two groups(P>0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in anal resting pressure and maximum systolic pressure between the two groups(P>0.05);after treatment,the anal resting pressure and maximum systolic pressure in the two groups decreased,but those in the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusion Traditional thread hanging method and virtual thread hanging method have similar clinical effects in the treatment of patients with high anal fistula,but virtual thread hanging method has more ideal effect on postoperative anal recovery and good treatment safety,which is worthy of clinical promotion and application.