低位挂线高位扩创引流术治疗高位复杂性肛瘘的临床疗效观察  

作　　者：刘国涛 

机构地区：[1]北京市通州区台湖卫生院外科,北京101116

出　　处：《当代医学》2015年第18期45-46,共2页Contemporary Medicine

摘　　要：目的探讨低位挂线高位扩创引流术治疗高位复杂性肛瘘的临床效果。方法选择高位复杂性肛瘘患者72例,随机均分为观察组和对照组(n=36)。观察组采用低位挂线高位扩创引流术,对照组采用低位切开高位挂线术。观察比较2组患者的住院时间、治愈时间、治愈率、复发情况、肛门功能。结果观察组治愈33例,未愈3例,治愈率为91.67%;经再次扩创后3例未愈者痊愈。对照组治愈34例,未愈2例,治愈率为94.44%;经再次手术挂线后2例遗漏支管未愈者治愈。2组治愈率比较其差异无统计学意义。所有患者出院后随访3个月,观察组1例因高位创腔管壁残留出现复发,后经挂线扩创后治愈。观察组患者的住院时间、治愈时间明显少于对照组,差异有统计学意义(P<0.05)。结论低位挂线高位扩创引流术治疗高位复杂性肛瘘可缩短治愈时间,值得临床推广。Objective To investigate the clinical effect of low thread-drawing and high opening-drainag in treating complex high anal fistula. Methods Seventy-two patients with complex high anal fistula were randomly divided into observation group and control group, with 36 cases in each group. The observation group was treated with low thread-drawing and high opening-drainag and the control was treated with low incision and high thread-drawing drainage. The hospitalization time, cure time, cure rate, recurrence and anal function were observed and compared between two groups. Results in the observation group, 33 cases were cured, 3 cases were cured, the cure rate was 91.67%; once again after debridement, 3 cases healed. The control group 34 cases were cured, 2 cases were cured, the cure rate was 94.44%; the second operation in 2 cases after missing the branch line is not cured. 2 the cure rate of the two groups had no significant difference. The patients were followed up for 3 months, and 1 patients were treated by the observation group, and the recurrence was caused by the high position of the wall of the cavity, and then cured by the hanging line. Conclusion Low thread-drawing and high opening-drainag can shorten the healing time in the treatment of complex high anal fistula, which is worthy of clinical promotion.

关 键 词：肛瘘 挂线 扩创引流 疗效 

分 类 号：R657.16[医药卫生—外科学]