定向紧线术对高位肛瘘术后肛门功能的影响  

Influence of oriented frapping thread on treatment of anal function after surgery in patients with high anal fistula

作　　者：缪琦[1] 

机构地区：[1]安徽省滁州市第一人民医院普外科,安徽滁州239001

出　　处：《实用临床医药杂志》2014年第13期86-87,90,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察定向紧线术在高位肛瘘临床治疗中的应用价值。方法对2010年4月一2011年1月在本院的高位肛瘘患者30例进行分析。随机分为观察组(定向紧线术)和对照组(传统切开挂线紧线术)。术后随访3个月,观察两组在治疗效果、痊愈时间、术后复发率及肛门括约功能等的差异。结果发现观察组与对照组在治疗效果、痊愈时间、复发率等方面无显著差异(P>0.05)。观察组在手术后3月的肛门锁孔式畸形发生率、肛门失禁评分(Wexner评分)及肛门裹指评分明显低于对照组(P<0.05)。结论定向紧线术可以有效地减轻挂线疗法对于高位肛瘘术后肛门形态及肛门功能的影响。Objective To explore influence of oriented frapping thread on the treatment of anal function after surgery in patients with high anal fistula.Methods 30 patients with high anal fistula were randomly divided into the observation group （oriented frapping thread）and the control group （traditional incision-thread-drawing procedure）.Therapeutic effect,recovery time,postoper-ative recurrence rate and anal sphincter function were observed between the two groups during the 3 months follow-up period.Results There were no significant differences of therapeutic effect,re-covery time and recurrence rate between the two groups （P 〉0.05）.The incidence rate of anal keyhole deformity,anal incontinence score （Wexner score）and anal finger wrapped score in the ob-servation group were significantly lower than those of the control group （P 〈0.05）.Conclusion Oriented frapping thread technique can effectively reduce the influence of thread-drawing therapy on anal morphology and function after the surgery in patients with high anal fistula.

关 键 词：切开挂线 定向紧线 高位肛瘘 临床研究 

分 类 号：R657.1[医药卫生—外科学]