切开挂线对口引流术治疗高位复杂性肛瘘研究  

Study on the effect of open and thread-coupled drainage in the treatment of high complex anal fistula

作　　者：申连东[1] 白江江 曹光材[1] 齐文海[1] 左春义 SHEN Lian-dong;BAI Jiang-jiang;CAO Guang-cai;QI Wen-hai;ZUO Chun-yi(Department of Anorectal Surgery,Affiliated Hospital of Yan′an University,Yan′an 716000,China)

机构地区：[1]延安大学附属医院肛肠外科,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2020年第3期24-26,共3页Journal of Yan'an University:Medical Science Edition

基　　金：延安市科技惠民专项项目(2015-HM-14)。

摘　　要：目的探讨切开挂线对口引流术治疗高位复杂性肛瘘的效果。方法选取2017年11月至2019年11月收治的高位复杂性肛瘘患者112例,根据治疗方式的不同分为两组,对照组进行传统切开挂线引流术,研究组进行切开挂线对口引流术治疗,比较两组患者的临床疗效、并发症和复发率。结果研究组临床有效率为96.4%优于对照组67.9%(P<0.05),研究组并发症为12.5%、复发率为0.0%少于对照组39.3%、7.1%(P<0.05)。结论高位复杂性肛瘘患者采取切开挂线对口引流术治疗效果显著,还能减少并发症和复发率,应在临床推广应用。Objective To explore the effect of incision and thread drainage in the treatment of high complex anal fistula.Methods A total of 112 patients with high complex anal fistula admitted to our hospital from November 2017 to November 2019 were selected and divided into two groups according to different treatment methods.The control group received traditional incision and suture drainage,and the research group received incision and suture drainage.The clinical efficacy,complications and recurrence rates of the two groups were compared.Results The clinical effective rate of the study group was 96.4%higher than that of the control group(P<0.05),and the complication rate and recurrence rate of the study group were 12.5%and 0.0%lower than those of the control group(39.3%and 7.1%,P<0.05).Conclusion In patients with high complex anal fistula,multiple incision and thread-hanging pincushion drainage has a significant effect,and can reduce the rate of complications and recurrence,which should be widely used in clinical practice.

关 键 词：切开挂线对口引流术 高位复杂性肛瘘 疗效 并发症 

分 类 号：R657.16[医药卫生—外科学]