双向等压引流术与切开高位虚挂线术治疗高位肛瘘效果比较  

Effect comparison of bidirectional isallobaric drainage radical resection as well as incision and high loose thread-drawing in treatment of high anal fistula

作　　者：肖海燕[1] XIAO Haiyan(The Central Hospital of Jiamusi City,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯市中心医院肛肠外科

出　　处：《中国民康医学》2019年第11期4-6,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨双向等压引流术与切开高位虚挂线术治疗高位肛瘘的效果。方法:选取70例高位肛瘘患者作为研究对象,按照随机数字表法分为观察组与对照组各35例。观察组采用双向等压引流根治术治疗,对照组采用切开高位虚挂线术治疗,观察两组手术效果。结果:观察组手术治疗总有效率明显高于对照组,患者平均愈合时间及术后住院时间明显短于对照组,差异有统计学意义(P<0.05);观察组术后3d、7d视觉模拟评分(VAS)明显低于对照组,差异有统计学意义(P<0.05);术后1个月、6个月,观察组患者Wexner评分明显低于对照组;观察组并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论:双向等压引流根治术治疗高位肛瘘效果确切,可对患者肛门功能有效保护,术后痛苦小、愈合快。Objective:To investigate effects of bidirectional isallobaric drainage radical resection as well as incision and high loose thread-drawing in treatment of high anal fistula.Methods:70 patients with high anal fistula were selected as the study subjects.According to the random number table method,they were divided into observation group (n=35) and control group (n=35).The observation group was treated with bidirectional isallobaric drainage radical resection,while the control group was treated with incision and high loose thread-drawing.The surgical results of the two groups were observed.Results:The total effective rate in the observation group was significantly higher than that in the control group;the average healing time and postoperative hospital stay were significantly shorter than those of the control group;and the differences were statistically significant (P<0.05).The visual analogue scores (VAS) of the observation group 3 days and 7 days after the surgery were significantly lower than those of the control group,and the differences were statistically significant (P<0.05).1 month and 6 months after the surgery,the Wexner scores were significantly lower in the observation group than in the control group;the incidence of complications in the observation group was lower than that in the observation group;and the differences were statistically significant (P<0.05).Conclusions:Bidirectional isallobaric drainage radical resection is effective in the treatment of high anal fistula.Moreover,it can effectively protect the anus function of the patients with less postoperative pain and faster healing.

关 键 词：双向等压引流根治术 切开挂线术 高位肛瘘 肛门功能 

分 类 号：R657.16[医药卫生—外科学]