肛瘘挂线术与肛瘘切除术在治疗低位单纯性肛瘘中的效果对比  

The value of comparative anal fistula seton and fistulectomy in the treatment of low simple anal fistula

作　　者：蔡浩武[1] 陈志明[1] 王红旭[1] CAI Hao-wu;CHEN Zhi-ruing;FANG Hong-xu(Department of general surgery,The People＇s Hospital of Yingde City,Guangdong province,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院普外科,广东英德513000

出　　处：《吉林医学》2018年第6期1124-1125,共2页Jilin Medical Journal

摘　　要：目的:分析低位单纯性肛瘘患者治疗中采取肛瘘挂线术与切除术治疗的价值。方法:将收治的69例低位单纯性肛瘘患者,其中实施挂线术41例设置为挂线组,另28例实施切除术设置为切除组,并进行为期3~6个月的随访观察。对照两组患者住院时间、愈合时间、并发症与复发率,分析两种手术方式的优势。结果:挂线组愈合时间大于切除组,挂线组术后并发症发生率少于切除组,差异具有统计学意义(P<0.05)。两组住院时间、复发率比较差异无统计学意义(P>0.05)。结论:对于低位单纯性肛瘘患者,肛瘘挂线术愈合时间均较长,术后并发症发生率较低。Objective To observe the value analysis of the treatment of anal fistula seton and fistulectomy for patients with low simple anal fistula. Method 69 cases of low anal fistula,including 41 cases of resection group,the other 28 patients of fistulectomy group,were followed up for 3 ~ 6 months. Compared to the two groups of patients in hospital time,healing time,complications and recurrence rate,analysis of the advantages of the two methods of operation. Results The first group was greater than the healing time in the resection group,the incidence rate was less than the first group of postoperative complications of resection group,the difference was statistically significant（ P〈0.05）. There was no significant difference in the time of hospitalization and recurrence rate between the two groups（ P〉0.05）. Conclusion For the patients with low simple anal fistula,the healing time of anal fistula seton is long and the incidence of postoperative complications is low.

关 键 词：肛瘘挂线 肛瘘切除 低位单纯性肛瘘 价值分析 

分 类 号：R657.16[医药卫生—外科学]