对口切开隧道式切除联合垫棉法治疗复杂性肛瘘的疗效分析  

Contraincision&Resection in Tunnel Combined with Cotton-Padding Manipulation in the Treatment of Complex Anal Fistula:Effect Analysis

作　　者：杜建成 DU Jian-cheng(Dept.of Coloproctology,the People's Hospital of Queshan County,Zhumadian,Henan 463200)

机构地区：[1]河南省驻马店市确山县人民医院肛肠科,河南驻马店463200

出　　处：《中国肛肠病杂志》2020年第5期41-43,共3页Chinese Journal of Coloproctology

摘　　要：为探讨对口切开隧道式切除联合垫棉法治疗复杂性肛瘘的临床疗效,将2018年2月至2019年3月我院收治的84例复杂性肛瘘患者随机分为对照组和观察组,各42例,对照组采用传统肛瘘切除术治疗,观察组采用对口切开隧道式切除加垫棉法治疗。比较2组治疗总体效果,术后第2、7、10天疼痛程度(VAS评分),创面愈合时间,以及术后创面愈合时、6个月时患者的肛门功能(Wexner评分)。结果显示,2组治愈率比较差异无统计学意义,P>0.05;观察组术后第2、7、10天时VAS评分均明显低于对照组,P<0.05;观察组创面愈合时间明显短于对照组,术后创面愈合时及术后6个月时Wexner评分均明显低于对照组,P<0.05。结果表明,对口切开隧道式切除联合垫棉法治疗复杂性肛瘘效果显著,患者术后疼痛轻,创面愈合时间快,对肛门功能影响小。This study was to investigate the clinical effect of contraincision&resection in tunnel combined with cotton-padding manipulation in the treatment of complex anal fistula,radomly divided 84 cases treated in authors’hospital(2018-02-2019-03)into control group(42 cases,received routine resection)and observation group(42 cases,contraincision&resection in tunnel combined with cotton-padding manipulation);then,compared both groups’whole effect,VAS score on pain degree on the 2 nd,7 th and 10 th after surgery,wound-surface healing time,and Wexner score on anal funtion at wound-surface healing,and at 6 months after surgery.As results,in curative rate there was no statistical difference between the two groups(P>0.05);but,in VAS score on the 2 nd,7 th and 10 th day,in wound-surface healing time,and in Wexner score at healing,and at 6 months after surgery,observation group was significantly and respectively lower,shorter and lower than control group(all,P<0.05).Results show that the combined procedure used in observation group for complex anal fistula has significant effect and with lighter postoperative pain and faster wound-surface healing,as well less impact on anal function.

关 键 词：复杂性肛瘘 对口切开隧道式切除 垫棉法 疗效 

分 类 号：R657.16[医药卫生—外科学]