两种术式治疗高位复杂性肛瘘的临床对比观察  

A Comparative Study on the Therapeutic Efficacy of Two Surgical Procedures in the Treatment of High and Complex Anal Fistula

作　　者：熊伟南[1] 常凤欣 郭耀辉(指导) 

机构地区：[1]黑龙江中医药大学研究生部,黑龙江哈尔滨150500 [2]黑龙江省哈尔滨市呼兰区第一人民医院肛肠科 [3]不详

出　　处：《中国肛肠病杂志》2008年第5期33-34,共2页Chinese Journal of Coloproctology

摘　　要：为筛选高位复杂性肛瘘有效的治疗方法，对治疗高位复杂性肛瘘连环挂线对口引流术与切扩挂线术进行疗效比较。将135例高位复杂性肛瘘分为A、B两组，其中A组90例采用连环挂线对口引流术，B组45例采用切扩挂线术。通过术后跟踪随访，在治愈、复发及术后并发症等方面进行判断分析。结果表明，连环挂线对口引流术明显缩短疗程，术后痛苦小，并发症少，为治疗高位复杂性肛瘘的首选术式。The objective of this study was to compare the therapeutic efficacy and to select a better surgical procedure for the patients with high complex anal fistula. One hundred and thirty five patients were divided into two groups, patients in group A（90 cases） underwent the surgical procedure of interlocking thread- drawing and counteropening drainage,while patients in group B（45 cases） underwent the procedure of incision,debridement and thread-drawing. The therapeutic efficacy of the two groups was compared on the indexes of cure rate, recurrence rate, postoperative complications, etc. It is concluded that the surgical procedure of interlocking thread-drawing and counteropening drainage can ensure a shorter treatment course,less pain and less complications, and that this procedure may be served as the optimal one of choices in the treatment high complex anal fistula.

关 键 词：肛瘘 手术 临床观察 

分 类 号：R657.16[医药卫生—外科学] R683.42[医药卫生—临床医学]