一期瘘管切除与挂线术治疗高位复杂性肛瘘疗效比较  

A Comparative Study on the Therapeutic Efficacy of Primary Fistula Resection and Thread-drawing in the Treatment of High and Complex Anal Fistula

作　　者：吴印爱[1] 王志伟[1] 刘献棠[1] 谢尚奎[1] 黄建强[1] 罗真东[1] 胡世雄[1] 

机构地区：[1]解放军第458医院第157临床部普通外科,广东广州510510

出　　处：《中国肛肠病杂志》2008年第5期17-18,共2页Chinese Journal of Coloproctology

摘　　要：为了观察一期瘘管切除与挂线术治疗高位复杂性肛瘘的效果，采用一期瘘管切除和挂线术分别治疗高位复杂性肛瘘210例（切除组）和106例（挂线组）。结果显示，切除组术后第8天疼痛指数、住院时间、创面愈合时间均显著优于挂线组（P〈0.05）；两组术后均无大便失禁，在随访时间内复发率无显著性差异（P〉0.05）。结果表明，一期瘘管切除治疗高位复杂性肛瘘术后疼痛时间、住院时间及创面愈合时间明显缩短，安全性与挂线术相当。The comparative study was conducted in a bid to assess the therapeutic efficacy of primary fistula resection and thread-drawing. Two hundred and ten patients underwent the primary fistula resection, and 106 patients underwent thread-drawing. As results, the parameters of the pain index on the postoperative 8th day, hospital stay and wound healing time were better in the primary fistula resection group（ P〈0.05） ,there was no fecal incontinence in the two groups,and the recurrence rates in the two groups were similar（ P 〉0.05）. It is concluded that the procedure of primary fistula resection is more optimal in terms of postoperative pain duration of time, hospital stay and wound healing time, while surgical safety was similar between the two groups.

关 键 词：肛瘘 瘘管切除 挂线疗法 疗效 

分 类 号：R657.16[医药卫生—外科学] R713.32[医药卫生—临床医学]