切挂选择缝合术治疗高位复杂性肛瘘临床对比分析  

Clinical comparative analysis of cutting and hanging selective suture in the treatment of high complex anal fistula

作　　者：许文海 魏多刚 张瑞芳 陈海超 Xu Wenhai;Wei Duogang;Zhang Ruifang;Chen Haichao(Nanyuan Hospital of Fengtai District,Beijing 100076)

机构地区：[1]丰台区南苑医院,北京100076

出　　处：《中国社区医师》2020年第28期70-71,共2页Chinese Community Doctors

摘　　要：目的:探讨切开挂线选择性缝合手术治疗高位复杂性肛瘘患者的临床疗效。方法:收治高位复杂性肛瘘患者60例,随机分为两组,各30例。对照组采用切开挂线引流术;观察组采用切开挂线选择性缝合术。比较两组治疗效果和术后肛门功能恢复情况。结果:观察组治疗总有效率优于对照组,差异有统计学意义(P<0.05)。观察组术后Wexner评分和术后出血等级均低于对照组,差异有统计学意义(P<0.05)。两组术后疼痛情况比较,差异无统计学意义(P>0.05)。结论:对于高位复杂性肛瘘患者进行切开挂线选择性缝合手术,相比于传统切开挂线引流手术有更好的效果,能提升患者术后肛门功能恢复情况,降低术后出血量。Objective:To explore the clinical efficacy of incision and suture selective suture in the treatment of patients with high complex anal impotence.Methods:60 patients with high complex anal impotence were selected,they were randomly divided into the two groups with 30 cases in each group.The control group used incision and suture drainage.The observation group used selective suture with incision and suture.The therapeutic effect and postoperative recovery of anal function were compared between the two groups.Results:The total effective rate of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The postoperative Wexner score and postoperative bleeding grade of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference in postoperative pain between the two groups(P>0.05).Conclusion:Selective suture for patients with high complex anal impotence has a better effect than traditional incision and thread drainage,which can improve the recovery of anal function and reduce the amount of bleeding after operation.

关 键 词：切开挂线 缝合 复杂性肛瘘 

分 类 号：R657.16[医药卫生—外科学]