藏线缝合法治疗低位肛瘘的临床研究  

Clinical study of Tibetan suture in the treatment of patients with low anal fistula

作　　者：张琳 曾智辉 黄莉 ZHANG Lin;ZENG Zhi-hui;HUANG Li(First Department of Anorectal Surgery,Shenzhen Anorectal Hospital of Traditional Chinese Medicine(Futian),Shenzhen 518000,China)

机构地区：[1]深圳市中医肛肠医院(福田)肛肠外一科,518000

出　　处：《中国实用医药》2021年第15期41-44,共4页China Practical Medicine

基　　金：深圳市福田区卫生和计划生育局(项目编号:FTWS2018076)。

摘　　要：目的探究低位肛瘘患者采用藏线缝合法治疗的价值。方法90例低位肛瘘患者,依据随机数字表法分为观察组、观察1组和观察2组,每组30例。观察组患者采用藏线缝合法治疗,观察1组患者采用肛瘘切除术治疗,观察2组患者采用肛瘘切开术治疗。对比三组围手术期指标(术中出血量、手术时长、切口宽度)、临床疗效、恢复状况(住院时长、愈合时长及瘢痕宽度)、并发症发生情况。结果三组术中出血量比较差异无统计学意义(P>0.05);观察组手术时长长于观察1组和观察2组,切口宽度小于观察1组和观察2组,差异具有统计学意义(P<0.05)。观察组总有效率为96.67%,显著高于观察1组的80.00%和观察2组的76.67%,差异具有统计学意义(P<0.05)。三组住院时长比较差异无统计学意义(P>0.05);观察组愈合时长及瘢痕宽度均短于观察1组和观察2组,差异具有统计学意义(P<0.05)。观察组的并发症发生率为3.33%,显著低于观察1组的23.33%和观察2组的30.00%,差异具有统计学意义(P<0.05)。结论藏线缝合法在低位肛瘘患者治疗中合理应用,可显著提升疗效,减少感染的发生,促使切口良好愈合,缩短愈合时长,且瘢痕宽度短,建议临床推广应用。Objective To investigate the value of Tibetan suture in the treatment of patients with low anal fistula.Methods A total of 90 patients with low anal fistula were divided into observation group,observation group 1 and observation group 2 according to random numerical table,with 30 cases in each group.The observation group was treated with Tibetan suture,observation group 1 was treated with anal fistula resection,and observation group 2 was treated with anal fistulectomy.The perioperative indicators(intraoperative blood loss,operation time,incision width),clinical efficacy,recovery status(hospitalization time,healing time,scar width)and occurrence of complications of the three groups were compared.Results There was no statistically significant difference in intraoperative blood loss among the three groups(P>0.05).The operation time of the observation group was longer than that of observation group 1 and observation group 2,and incision width was shorter that of observation group 1 and observation group 2.All the difference was statistically significant(P<0.05).The total effective rate of the observation group was 96.67%,which was significantly higher than 80.00%of observation group 1 and 76.67%of observation group 2,and the difference was statistically significant(P<0.05).There was no statistically significant difference in hospitalization time among three groups(P>0.05).The healing time and scar width of the observation group were shorter than that of observation group 1 and observation group 2,and the difference was statistically significant(P<0.05).The incidence of complications of the observation group was 3.33%,which was significantly lower than 23.33%of observation group 1 and 30.00%of observation group 2,and the difference was statistically significant(P<0.05).Conclusion Tibetan suture can significantly improve the efficacy of patients with low anal fistula,reduce the occurrence of infection,promote healing of incision,shorten healing time and scar width.It is suggested to be promoted and applied in clinic.

关 键 词：藏线缝合法 低位肛瘘 肛瘘切除术 肛瘘切开术 

分 类 号：R657.16[医药卫生—外科学]