瘘管解剖学切除并挂线术治疗低位肛瘘的临床研究  

Fistulectomy in Anatomy&Thread-drawing in the Treatment of Low Anal Fistula:A Clinical Study

作　　者：闫丹 宋允举[1] YAN Dan;SONG Yun-ju(The TCM Hospital of Linyi City,Linyi,Shandong 276002)

机构地区：[1]山东省临沂市中医医院,山东临沂276002

出　　处：《中国肛肠病杂志》2022年第5期33-35,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨瘘管解剖学切除并挂线术治疗低位肛瘘的疗效。方法:将60例低位肛瘘患者随机分为观察组和对照组,各30例。观察组采用瘘管解剖学切除并挂线术治疗,对照组采用传统的瘘管切除治疗,比较2组患者治愈率、术后疼痛程度、住院时间和创面愈合时间,以及术后6个月复发情况及肛门功能。结果:2组患者治愈率及术后6个月复发率比较差异均无统计学意义,P>0.05;但观察组患者术后疼痛程度轻于对照组,住院时间和创面愈合时间均短于对照组,术后肛门功能Wexner评分低于对照组,P<0.05。结论:瘘管解剖学切除并挂线术治疗低位肛瘘具有组织损伤小、创面愈合快、对肛门功能影响小等优点,值得临床推广应用。Objective To investigate the effect of fistulectomy in anatomy combined with thread-drawing in the treatment of low anal fistula.Methods Randomly divided 60anal fistula patients into observation(30cases,received fistulectomy in anatomy combined with thread-drawing)and control group(30cases,routine fistulectomy);then,compared both groups’curative rate,patients’postoperative pain intensity,hospitalization time,and wound-surface healing time,as well as 6months after surgery patients’anal function and recurrence status.Results In curative rate and the recurrence 6months after surgery there was no statistical difference between the two groups(P>0.05);but,in postoperative pain intensity,in the time for hospitalization and wound-surface healing,as well as Wexner ratings on anal function,observation group was respectively slighter,shorter,as well as lower than control group(all,P<0.05).Conclusion Fistulectomy in anatomy combined with thread-drawing in the treatment of low anal fistula has such merits as less tissue trauma,faster wound-surface healing,and little influence on anal function,etc,.is worthy to be popularized to use clinically.

关 键 词：低位肛瘘 瘘管解剖学切除 挂线术 疗效 

分 类 号：R657.16[医药卫生—外科学]