肛门镜直视下与盲探寻找内口治疗肛瘘对比

Comparison of anal endoscopic and blind exploration looking for the inside mouth in the treatment of anal fistula

目的:探讨肛门镜直视下寻找内口与盲探寻找内口手术治疗肛瘘的临床疗效。方法:收治低位肛瘘需要手术患者56例,随机分为观察组和对照组,各28例。在肛瘘内口探查上,观察组采用肛门镜,对照组采用盲探,对比两组手术治疗效果及复发情况。结果:观察组痊愈率和复发率与对照组比较差异有统计学意义(P<0.05)。结论:肛门镜直视下寻找内口治疗肛瘘比盲探寻找内口治疗肛瘘效果更好。

Objective: To investigate the clinical efficacy of anal endoscopic and blind exploration looking for the inside mouth in the treatment of anal fistula. Methods:56 patients with low anal fistula who need operation were randomly divided into the observation group and the control group with 28 cases in each group.In the inner opening of the anal fistula probing,the observation group used the anus mirror,and the control group used blind detection.We compared the operation curative effect and recurrence of the two groups.Results:The difference of the cure rate and recurrence rate between the observation group and the control group had statistical significance(P<0.05).Conclusion:The anus mirror under direct vision looking for the inside mouth in the treatment of anal fistula is better than blind detection looking for the inside mouth in the treatment of anal fistula.