序贯紧线法在小儿多发性肛瘘术中的临床观察

Clinical effect of sequential suture method in treatment of multiple anal fistulas in children

目的:观察序贯紧线法在小儿多发性肛瘘术中的临床疗效。方法:将78例多发性肛瘘患儿随机分为治疗组和对照组。在手术过程中,治疗组36例采用序贯紧线法一次性根治,对照组42例采用分期根治术治疗。观察2组的住院时间、治愈时间、术后疼痛程度、治愈情况、肛门功能评分及肛门畸形、肛门狭窄、复发情况。结果:与对照组比较,治疗组住院时间、治愈时间均缩短,差异均有统计学意义(P<0.01);2组术后疼痛评分、治愈率、肛门功能评分及肛门畸形、肛门狭窄、复发例数比较,差异均无统计学意义(P>0.05)。结论:序贯紧线法治疗能缩短小儿多发性肛瘘术后的住院时间及愈合时间,具有较好的临床疗效与安全性。

Objective:To investigate the clinical effect of sequential suture method in the treatment of multiple anal fistulas in children.Methods:A total of 78 children with multiple anal fistulas were randomly divided into treatment group and control group.During surgery,the 36 children in the treatment group were given radical treatment with the sequential suture method,and the 42 children in the control group were given staged radical surgery.The two groups were observed in terms of length of hospital stay,cure time,degree of postoperative pain,situation of cure,anal function score,anal deformity,anal stenosis,and recurrence.Results:Compared with the control group,the treatment group had significantly shorter length of hospital stay and time to cure(P<0.01),and there were no significant differences between the two groups in postoperative pain score,cure rate,anal function score,and the numbers of cases with anal deformity,anal stenosis,and recurrence(P>0.05).Conclusion:The sequential suture method can shorten the length of hospital stay and the time to cure after surgery for multiple anal fistulas in children and has good clinical effect and safety.