一次性根治术与肛瘘切开挂线术治疗婴幼儿医源性肛瘘临床效果比较  

Comparative Effect of One-Time Radical Correction and Incision-Thread-Drawing Procedure in Treating Infantile Iatrogenic Anal Fistula

作　　者：党长宁[1] 

机构地区：[1]辽宁中医药大学附属第三医院.辽宁省肛肠医院,辽宁沈阳110000

出　　处：《中国药业》2017年第21期42-44,共3页China Pharmaceuticals

摘　　要：目的对比一次性根治术与肛瘘切开挂线术治疗婴幼儿医源性肛瘘的临床效果。方法选取2013年1月至2016年3月医院择期手术的医源性肛瘘患儿96例,按随机数字表法分为两组,各48例。挂线组患儿实施肛瘘切开挂线术,根治组患儿实施一次性根治术。结果挂线组治疗有效率为81.25%,明显低于根治组的95.83%(χ~2=5.031,P<0.05);挂线组患儿治疗期间切口感染发生率22.92%,高于根治组的6.25%(χ~2=5.352,P<0.05);两组出血、肛门失禁、肛门缺损发生率比较均无显著性差异(P>0.05);挂线组复发率为14.58%,明显高于根治组的2.08%(χ~2=4.909,P<0.05);两组肛门锁孔样畸形、肛门狭窄、溢液发生率均无显著性差异(P>0.05)。结论与肛瘘切开挂线术比较,一次性根治术治疗婴幼儿医源性肛瘘的效果确切,术后并发症和远期复发率更低。Objective To compare the clinical effect of one-time radical correction and incision-thread-drawing procedure for treating infantile iatrogenic anal fistula. Methods Totally 96 cases of infantile anal fistula in our hospital from January 2013 to March 2016 were selected and randomly divided into two groups, 48 cases in each group. The thread-drawing group was treated with incision-thread-drawing procedure of anal fistula, while the radical group was treated with one-time radical correction. Results The effective rate in the thread-drawing group was 81. 25%,which was significantly lower than 95. 83% in the radical group（ χ^2= 5. 031, P〈0. 05）. During the treatment, the incidence rate of incision infection in the thread-drawing group was 22. 92%, which was significantly higher than6. 25% in the radical group（ χ^2= 5. 352, P〈0. 05）. There was no difference in the incidence rate of bleeding, anal incontinence and defect between the two groups（ P〉0. 05）. Conclusion Compared with the incision-thread-drawing procedure of anal fistula,the curative effect of one-time radical correction in the treatment of infantile iatrogenic anal fistula is obvious,the postoperative complications and long-term recurrence rate are lower.

关 键 词：一次性根治术 肛瘘切开挂线术 婴幼儿 医源性肛瘘 

分 类 号：R726.5[医药卫生—儿科]