内口切除开放联合浮线引流术治疗复杂性肛瘘49例  

Internal Orifice Resection for Open plus Drainage with Floating Thread in the Treatment of Complex Anal Fistula of 49 Cases

作　　者：杜长亮[1] 王春芳[1] 卢艳[1] DU Chang-liang;WANG Chun-fang;LU Yan(Coloproctological Dept.,the General Hospital of Daqing Oil Field,Daqing,Heilongjiang 163000)

机构地区：[1]黑龙江省大庆市大庆油田总医院肛肠科,黑龙江大庆163000

出　　处：《中国肛肠病杂志》2020年第3期35-36,共2页Chinese Journal of Coloproctology

摘　　要：为探讨内口切除开放联合浮线引流术治疗复杂性肛瘘的临床价值,将98例复杂性肛瘘患者随机分为观察组和对照组,各49例。观察组给予内口切除开放联合浮线引流术治疗,对照组给予常规挂线术治疗。比较2组术后疼痛,并发症及创面愈合情况。结果显示,观察组术后疼痛评分低于对照组,术后肛门溢液及稀便控制功能减弱的发生率明显低于对照组,术后创面及瘢痕面积明显优于对照组,差异均有统计学意义(P<0.05)。结果表明,内口切除开放联合浮线引流术治疗复杂性肛瘘有利于降低术后并发症发生率,保护肛门功能,促进术后康复,值得临床推广应用。This study was to explore the clinical value of internal orifice resection for open plus drainage with floating thread in the treatment of complex anal fistula(CAF),randomly divided 98 cases into observation group(49 cases,above combined therapy)and control group(49 cases,routine thread-drawing);then,compared both groups’following status on postoperative pain,complication and wound-surface healing.As results,in above three status:pain score,complication(polyrrhea from anus,weaken function controlling hydrostool)incidence,and area of wound-surface and scar,observation group was lower,lower than and superior to control group significantly(P<0.05).Results show that above combined procedure for CAF is beneficial to reduce complication,to protect anal function,thus promote postoperative rehabilitation.It is worthy of clinical popularization and application.

关 键 词：肛瘘 内口切除开放 浮线引流 疗效 

分 类 号：R657.16[医药卫生—外科学]