隧道式对口拖线引流术在高位复杂性肛瘘治疗中的应用效果

Study on the Effect of Tunnel Tunnel Type Bilateral Thread Drainage in the Treatment of High Complex Anal Fistula

目的:研究隧道式对口拖线引流术在高位复杂性肛瘘治疗中的应用效果。方法:选取潜江市中心医院2016年8月-2019年7月收治的96例高位复杂性肛瘘患者为研究对象,随机均分为对照组及观察组,各48例,对照组行常规治疗方案,观察组行隧道式对口拖线引流术,对比两组临床疗效。结果:观察组治愈率高于对照组,差异有统计学意义(P<0.05);治疗前两组疼痛评分、肛门功能评分比较,差异无统计学意义(P>0.05),治疗后7、30 d与本组治疗前相比较,差异有统计学意义(P<0.05);观察组治疗后各时间段疼痛评分、肛门功能评分低于对照组,差异有统计学意义(P<0.05);观察组切口愈合时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。结论:在高位复杂性肛瘘治疗中隧道式对口拖线引流术取得的应用效果更佳,可作为优选治疗方案加以推广使用。

Objective:To study the application effect of tunnel type bilateral thread drainage in the treatment of high complex anal fistula.Method:A total of 96 patients with high complex anal fistula admitted to Qianjiang Central Hospital from August 2016 to July 2019 were selected as the research objects.They were randomly divided into the control group and the observation group,with 48 cases in each group.The control group received conventional treatment,while the observation group received tunnel type bilateral thread drainage.The clinical effects in two groups were compared.Result:The cure rate of the observation group was higher than that of the control group,and the difference was statistically significant (P<0.05).There were no significant differences in pain score and anal function score between the two groups before treatment (P>0.05),but there were significant differences in pain score and anal function score between the two groups at 7 and 30 days after treatment (P<0.05).The pain score and anal function score of the observation group were lower than those of the control group at each time period after treatment,and the differences were statistically significant (P<0.05).The wound healing time of the observation group was earlier than that of the control group,and the hospital stay of the observation group was shorter than that of the control group,and the differences were statistically significant (P<0.05).Conclusion:In the treatment of high complex anal fistula,the application effect of tunnel type bilateral thread drainage is better,and it can be used as the preferred treatment.