改良式挂线疗法治疗高位肛瘘的临床疗效观察  

Observation of curative effect on modified line therapy in high grade anal

作　　者：沈奎[1] 张承岳[1] 吕文辉[1] 张娟[1] 彭西兰[1] 

机构地区：[1]合肥市第一人民医院肛肠科,安徽230001

出　　处：《安徽卫生职业技术学院学报》2014年第3期18-19,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:研究改良式与传统挂线法在治疗高位肛瘘的疗效差异。方法:选择80例高位肛瘘患者,随机分为对照组及治疗组,各40例患者;治疗组采用改良式挂线疗法,对照组采用传统挂线法治疗,观察两组患者术后疗效。结果:两组患者在术后3d的VAS评分无统计学差异(P>0.05),但术后第5、7d治疗组VAS评分明显低于对照组(P<0.05)。两组脱线时间差异有统计学意义(P<0.05);两组临床疗效有明显差异(P<0.05);治疗组的复发率明显低于对照组(P<0.05),治疗组术后肛管畸形、大便失禁、肛门漏气漏液等并发症发生率明显低于对照组(P<0.05)。两组疗程时间差异无统计学意义(P>0.05)。结论:改良式挂线法与传统挂线疗法相比疗效确切,且预后情况好。Objective：To compare the modified hanging line method and the traditional hanging line method in treatment of high anal fistula. Methods ：Select 80 high anal fistula patients, which were randomly divided into treatment group and control group, 40 patients in each therapy, the control group using the traditional hanging group; the treatment group with modified thread drawing line therapy, retrospective observation of the two groups of patients after treatment：. Results：The VAS of the two groups on 3 days after operation, these was no significant difference （P 〉0.05）, but after 5 and 7 days after operation, the VAS of the treatment group showed significantly lower than that in control group（P〈0.05）. There was statistically significant in off-line time（P〈0.05）; clinical curative effect of the two groups showed significant statistical difference （P〈0.05）; relapse rate in treatment group was significantly lower than that in control group （P〈0.05）, the treatment group postoperative anal deformity, fecal incontinence, anal leakage of gas and liquid, the complication rate was significantly lower than that in control group （P〈0.05）. There was no statistically significant difference in treatment time （P〉0.05）.Conclusion：the curative effect of modified line method is definite, and prognosis is good.

关 键 词：改良式挂线法 高位肛瘘 疗效 

分 类 号：R657.1[医药卫生—外科学]