两种术式治疗高位后马蹄形肛瘘的效果比较  

Comparision of curative effect of two operations in high posterior horseshoe-form fistula

作　　者：贾莉[1] 王建平[1] 

机构地区：[1]成都大学附属医院肛肠科,四川成都610081

出　　处：《实用医院临床杂志》2012年第2期113-114,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨高位后马蹄形肛瘘的治疗方法。方法将116例高位后马蹄形肛瘘患者按入院先后顺序分为两组,单号入院为试验组(94例),双号入院为对照组(22例),分别采用放射状切开挂线对口引流术和切缝挂线内口引流术治疗,比较两组患者的治愈率、疗程、肛门功能及肛门变形情况。结果两组治愈率差异无统计学意义;试验组疗程明显较对照组缩短(t=3.075,P<0.05),并发症发生率明显低于对照组(χ2=2.75,P<0.05)。结论放射状切开挂线对口引流术并发症少、疗程短,是治疗高位后马蹄形肛瘘的有效治疗方法。To discuss two surgeries in the treatment of high posterior horseshoe-form fistula. We randomly divided into 116 cases of high posterior horseshoe-form fistula into two groups.The experimental group（94 cases）underwent radial incision thread-drawing one-for-one drainage and the control group（22 cases）underwent incision-suture of internal opening plus drainage.We compared the cure rate,time for wound healing,anus function and anus scars of the patients in two groups. There was no significant difference between two groups in the cure rate.The course of treatment in the experimental group was shorter than that of the control group（t=3.075,P 0.05）.Differences were significant between the two groups in the incidence of complications（χ2=2.75,P 0.05）. Radial incision thread-drawing one-for-one drainage has the advantages of fewer complications,little anus scars,and short course of treatment,which is an effective treatment for high posterior horseshoe-form fistula.

关 键 词：挂线 对口引流 高位后马蹄形肛瘘 

分 类 号：R657.12[医药卫生—外科学] R615[医药卫生—临床医学]