对口引流术治疗高位复杂性肛瘘的临床分析  

Clinical Analysis of Contra-portal Drainage in the Treatment of High Complex Anal Fistula

作　　者：张延平 ZHANG Yan-ping(Xiamen Fifth Hospital,Xiamen,Fujian Province,361101 China)

机构地区：[1]厦门市第五医院,福建厦门361101

出　　处：《中外医疗》2020年第35期27-29,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对口引流术在高位复杂性肛瘘临床治疗中的应用疗效。方法方便选取该院2018年9月—2019年10月期间收治的82例高位复杂性肛瘘患者作为研究对象,应用随机单盲法作为分组原则,行分组对照研究,分为观察组和对照组各41例。观察组患者接受对口引流加挂线术治疗,对照组患者接受切开挂线术治疗,观察两组患者的治疗有效率以及治疗后的生活质量、创面愈合情况、住院时间、并发症发生情况。结果与对照组相比,观察组患者的治疗有效率(92.68%vs 73.17%)以及生活质量量表(SF-36)评分[(76.65±4.26)分vs(69.84±3.97)分]相对更高,而并发症发生率(9.76%vs 29.27%)相对更低,差异有统计学意义(χ^2=5.513,t=7.488,χ^2=4.970,P<0.05),创面愈合时间[(15.42±2.55)d vs(24.18±3.76)d]、住院时间[(8.95±1.57)d vs(14.23±3.44)d]相对更短,差异有统计学意义(t=12.346、8.941,P<0.05)。结论在高位复杂性肛瘘患者的临床治疗中,对口引流术是一种安全、有效的治疗方法,能够减轻患者的临床症状,减少疾病对于患者日常生活的困扰,帮助患者快速、良好的恢复健康。Objective To explore the therapeutic effect of contralateral drainage in the clinical treatment of high complex anal fistula.Methods 82 patients with high complex anal fistula admitted to the hospital from September 2018 to October 2019 were convenient selected as the research objects.Randomized single-blind method was used as the grouping principle,and a group-controlled study was performed,divided into observation group and control group,41 cases in each group,patients in the observation group received contralateral drainage and thread-drawing surgery,and patients in the control group received incision thread-drawing surgery.The treatment efficiency and quality of life,wound healing,hospitalization time,and complications of the two groups were observed.Results Compared with the control group,the effective rate of treatment in the observation group(92.68%vs 73.17%)and the quality of life scale(SF-36)score[(76.65±4.26)points vs(69.84±3.97)point],relatively were higher,while the complication rate(9.76%vs 29.27%)was relatively lower,the difference was statistically significant(χ^2=5.513,t=7.488,χ^2=4.970,P<0.05),wound healing time[(15.42±2.55)d vs(24.18±3.76)d],hospitalization time[(8.95±1.57)d vs(14.23±3.44)d]relatively shorter,and the difference was statistically significant(t=12.346,8.941,P<0.05).Conclusion In the clinical treatment of patients with high complex anal fistula,counterpart drainage is a safe and effective treatment method,which can alleviate the clinical symptoms of the patient,reduce the troubles of the disease in the daily life of the patient,and help the patient recover quickly and well.

关 键 词：对口引流术 高位复杂性肛瘘 临床疗效 

分 类 号：R5[医药卫生—内科学]