内口外移拖线法和切开挂线法治疗肛瘘患者100例临床观察  

Clinical observations of 100 patients with anal fistula treated with outside moved endostoma dragging method and incision-thread-drawing method

作　　者：吴殿文[1] 法焕卿[1] 张学东[1] Wu Dianwen Fa Huanqing Zhang Xuedong(Department of General Surgery, Beijing Yanqing District Hospital （Yanqing Hospital of Peking University Third Hospital）, Beijing 102100, China)

机构地区：[1]北京市延庆区医院(北京大学第三医院延庆医院)普外科,102100

出　　处：《中华结直肠疾病电子杂志》2017年第4期324-326,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的探讨内口外移拖线法治疗肛瘘的临床疗效。方法将100例肛瘘患者随机分为治疗组和对照组,每组50例患者。对照组行切开挂线术,治疗组行内口外移拖线法,比较两组术后疗效。结果两组术后48小时、72小时、1周疼痛评分比较,治疗组优于对照组(t=-10.3623、-11.3022、-11.4253,P均<0.05);两组住院时间、创口愈合时间、术后1年复发情况比较,治疗组优于对照组(t=-4.9627、-13.1454、5.005,P均<0.05);治疗组总有效率(98%)略高于对照组(96%),差异无统计学意义(Χ2=0.344,P>0.05)。结论应用内口外移拖线法治疗肛瘘,不增加复发率,具有损伤小、疼痛轻、恢复快等优点,是微创治疗肛瘘较理想的术式。Objective To explore the clinical effect of outside moved endostoma dragging method treating anal fistula. Methods One-hundred patients with anal fistula were randomly divided into treatment group and control group, 50 cases in each group. The control group were treated with incision-thread-drawing method while the treatment group were treated with outside moved endostoma dragging method.Compared postoperative efficacy of the two groups. Results Forty-eight hours, 72 hours and 1 week postoperative pain score in the treatment group were better than that of control group（t=-10.3623、-11.3022、-11.4253,P〈0.05）; Length of hospital stay, wound healing time and 1 year postoperative recurrence rates in the treatment group was better than that of the control group（t=-4.9627、-13.1454、5.005,P〈0.05）; Total effective rate of the treatment group（98%） was slightly higher than that of the control group（96%）, there was no statistically significant difference（Χ2=0.344,P〈0.05）. Conclusion The outside moved endostoma dragging method in the treatment of anal fistula, does not increase the recurrence rate, has the advantages of little injury, pain, quick recovery and minimally invasive. It is an ideal minimally invasive treatment for anal fistula.

关 键 词：外科手术 微创性 肛瘘 内口外移 拖线 创口愈合 复发 

分 类 号：R657.16[医药卫生—外科学]