蹄铁型肛瘘两种手术方式的疗效比较  

Comparison of two kinds of operations for horseshoe anal fistula

作　　者：向锋[1] 

机构地区：[1]四川省医学科学院.四川省人民医院中医肛肠科,成都610072

出　　处：《结直肠肛门外科》2007年第5期297-299,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的:观察和评价两种手术方法治疗蹄铁型肛瘘的临床疗效。方法:将76例蹄铁型肛瘘患者随机分成试验组(多切口浮线引流术)和对照组(切缝内口引流术)各38例。观察两组病例术后疼痛、尿潴留、创面愈合时间、术后疤痕大小、肛门变形和随访1年内的复发情况。结果:两组在术后疼痛、尿潴留、疤痕大小、肛门形态与功能受损及复发率等方面有显著差异(P<0.05),对照组创面愈合时间短于试验组(P<0.05),治愈率方面无显著差异(P>0.05),试验组优于对照组。结论:多切口浮线引流术治疗蹄铁型肛瘘具有较好的效果,并能有效减少术后并发症及后遗症。Objective： To investigate the clinical effects of two kinds of operations in the treatment of horseshoe anal fistula. Methods： Seventy-six cases of horseshoe anal fistula were randomly divided into study group and control group. Thirty-eight cases in study group received multiple incision and loose thread drainage procedure, and 38 cases in control group received incision suture ＆ internal drainage procedure. The score of postoperative pain, the retention of urine, the length of the healing time, the size of the scar, the anal deformity and the relapse rate in one year were observed. Results： In respect of the therapeutic effect indexes such as the score of postoperative pain, the rate of retention of urine, the rate of anal de： fortuity , the sizes of scars and the rate of recurrence, the study group was superior to the control group significantly（ P 〈0.05）. There was no difference between the two groups in the cure rate （ P 〉0.05）. Conclusion： The multiple incision and loose thread drainage is an effective procedure for horseshoe anal fistula and can reduce postoperative complications.

关 键 词：蹄铁型肛瘘 多切口 临床观察 

分 类 号：R657.16[医药卫生—外科学]