经括约肌间瘘管结扎术与瘘管切除术治疗肛门直肠瘘的临床效果比较  

Comparison of clinical effect of transsphincteric fistula ligation and fistula resection on anorectal fistula

作　　者：高桂云 米园园 孙启明 GAO Gui-yun;MI Yuan-yuan;SUN Qi-ming(The Sixth Department of General Surgery,Liaoyang City Central Hospital,Liaoning Province,Liaoyang111000,China)

机构地区：[1]辽宁省辽阳市中心医院普外六科,辽宁辽阳111000

出　　处：《中国当代医药》2021年第2期62-64,共3页China Modern Medicine

摘　　要：目的分析经括约肌间瘘管结扎术与瘘管切除术治疗肛门直肠瘘的效果。方法选择2016年10月~2019年10月辽阳市中心医院收治的106例肛门直肠瘘患者作为研究对象,根据双盲原则(即患者与研究者分组前均未知晓分组情况与接受的治疗方式)均分两组。常态组(53例)采用瘘管切除术治疗,科研组(53例)采用经括约肌间瘘管结扎术治疗,观察两组临床效果。结果术前两组患者的疼痛程度与肛门功能评分比较,差异无统计学意义(P>0.05);术后30 d,两组患者的疼痛程度与肛门功能评分均低于手术前,差异有统计学意义(P<0.05);术后30 d,科研组的疼痛程度、肛门功能评分低于常态组,差异有统计学意义(P<0.05);科研组术后并发症总发生率低于常态组,差异有统计学意义(P<0.05)。结论经括约肌间瘘管结扎术与瘘管切除术治疗肛门直肠瘘的有效率高,其操作简单,并发症少,同时还可快速改善患者的肛门功能,缓解疼痛程度。Objective To analyze the effect of transsphincteric fistula ligation and fistula resection on anorectal fistula.Methods A total of 106 patients with anorectal fistula admitted to Liaoyang City Central Hospital from October 2016 to October 2019 were selected as the research subjects.According to the double-blind principle(before grouping,patients and researchers were not aware of the grouping status and the treatment received.),they were divided into two groups.The normal group(53 cases)was treated with fistula resection,and the research group(53 cases)was treated with transsphincter fistula ligation,and the clinical effects of the two groups were observed.Results The comparison of pain severity and anal function scores between the two groups before operation,the differences were not statistically significant(P>0.05).At 30 days after operation,both groups had lower pain and anal function scores than before operation,the differences were statistically significant(P<0.05).At 30 days after operation,the pain and anal function score in the research group were lower than that of the normal group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the research group was lower than that in the normal group,the difference was statistically significant(P<0.05).Conclusion Transsphincteric fistula ligation and fistula resection are effective in the treatment of anorectal fistula with simple operation and few complications,and can also rapidly improve the anal function of patients and relieve pain.

关 键 词：经括约肌间瘘管结扎术 瘘管切除术 肛门直肠瘘 效果 

分 类 号：R61[医药卫生—外科学]