主管切开挂线支管对口引流术在高位复杂性肛瘘患者中的应用及对肛门功能指数评分、Wexner评分的影响

Application of Supervisory Incision and Hanging Wire Branch Tube Pair-oral Drainage in Patients with High Complex Anal Fistula and Its Influence on Anal Function Index Score and Wexner Score

目的探究主管切开挂线支管对口引流术在高位复杂性肛瘘患者中的应用及对肛门功能指数评分、Wexner评分的影响。方法选取2019年1月—2020年12月该院收治的高位复杂性肛瘘患者94例,按照计算机随机分配法,分成参照组和研究组,各47例。前者、后者分别行切开挂线术治疗、主管切开挂线支管对口引流术治疗。对比两组术后康复指标、肛门功能指数评分、Wexner评分、生活质量评分及复发率。结果研究组创面愈合时间、住院时间短于参照组,差异有统计学意义(P<0.05)。研究组肛门功能指数评分、Wexner评分低于参照组,差异有统计学意义(P<0.05)。研究组SF-36评分高于对照组,差异有统计学意义(P<0.05)。研究组复发率[19.15%(9/47)]低于参照组[4.26%(2/47)],差异有统计学意义(χ^(2)=5.045,P=0.025)。结论在高位复杂性肛瘘患者治疗中,应用主管切开挂线支管对口引流术治疗,有确切疗效,且对患者肛门功能影响较小,能提高患者生活质量。

Objective To explore the application of incision and suture branch tube pair-to-oral drainage in patients with high complex anal fistula and its effect on anal function index score and Wexner score.Methods From January 2019 to December 2020,a total of 94 patients with high complex anal fistula admitted to the hospital were selected.According to the computer random allocation method,they were divided into a reference group and a study group,with 47 cases in each group.The former and the latter were treated with incision and hanging thread,and the direct incision and hanging wire branch tube drainage,respectively.The postoperative rehabilitation index,anal function index score,Wexner score,quality of life score and recurrence rate were compared between the two groups.Results The wound healing time and hospital stay in the study group were shorter than those in the reference group,and the difference was statistically significant(P<0.05).The anal function index score and Wexner score of the study group were lower than those of the reference group,and the difference was statistically significant(P<0.05).The SF-36 score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The recurrence rate of the study group[19.15%(9/47)]was lower than that of the reference group[4.26%(2/47)],and the difference was statistically significant(χ^(2)=5.045,P=0.025).Conclusion In the treatment of patients with high complex anal fistula,the application of incision incision and hanging thread branch tube to the mouth drainage has a definite curative effect.And it has little effect on the patient's anal function and can improve the quality of life of the patient.