悬浮挂线联合垫棉加压法治疗复杂性肛瘘35例疗效观察  

Floating Thread-drawing Combined with Padding Cotton Pressuring in the Treatment of Complex Anal Fistula:Effect Observation on 35 Cases

作　　者：关蕾 谢祖俭 GUAN Lei;XIE Zu-jian(Coloproctological Dept.,Hailuo Hospital,Wuhu,Anhui 241002)

机构地区：[1]安徽芜湖海螺医院肛肠科,安徽芜湖241002

出　　处：《中国肛肠病杂志》2020年第3期37-38,共2页Chinese Journal of Coloproctology

摘　　要：为观察悬浮挂线联合垫棉加压法治疗复杂性肛瘘的疗效,将70例复杂性肛瘘患者随机分为观察组和对照组。观察组35例采用悬浮挂线联合垫棉加压法治疗,对照组35例采用瘘管切开疗法治疗。比较2组临床疗效、术后创面愈合时间、肛门功能评分及复发率。结果显示,2组总有效率、治愈率、复发率比较差异无统计学意义(P>0.05)。观察组术后1、7d疼痛VAS评分明显低于对照组(P<0.05),术后创面愈合时间明显短于对照组(P<0.05),肛门功能评分明显低于对照组(P<0.05)。结果表明,悬浮挂线联合垫棉加压法治疗复杂性肛瘘疗效显著,且对患者损伤更小,疼痛程度轻,可以有效保护肛门功能,加速创腔愈合,具有较高临床应用价值。This study was to observe the effect of floating thread-drawing combined with padding cotton pressuring in the treatment of complex anal fistula,randomly divided 70 cases into observation group(35 cases,received above combined therapy)and control group(35 cases,incision therapy);then,compared both groups’effect,postoperative wound-surface healing time,the score on anal function,and recurrence rate.As results,in total effective rate,curative rate and recurrence rate there was no statistical difference between the two groups(P>0.05);1,7 days after surgery in the VAS score on pain,in wound-surface healing time,and in the score on anal function observation group was respectively lower,shorter,and lower than control group(all,P<0.05).Results show that floating thread-drawing plus padding cotton pressuring in the treatment of complex anal fistula has significant effect,less trauma to patients so that slight pain,and,can effective protect anal function,accelerate wound-surface healing.It has higher clinical application value.

关 键 词：复杂性肛瘘 悬浮挂线 垫棉法 疗效 

分 类 号：R657.16[医药卫生—外科学]