内口挂线引流联合开放式瘘管切除术治疗肛瘘的效果与安全性分析  

Effect and safety of incision-thread-drawing procedure combined with open fistulectomy in the treatment of anal fistula

作　　者：谢云民 陈梅华 丁新民 何耀彬 XIE Yun-min;CHEN Mei-hua;DING Xin-min(Anorectal Department,Dongguan Marina Bay Central Hospital,Dongguan 523900,China)

机构地区：[1]东莞市滨海湾中心医院肛肠科,523900

出　　处：《中国现代药物应用》2022年第14期64-66,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究内口挂线引流联合开放式瘘管切除术治疗肛瘘患者的效果与安全性。方法50例肛瘘患者,随机分为观察组(26例)和对照组(24例)。观察组采用内口挂线引流联合开放式瘘管切除术治疗,对照组采取常规手术方案治疗。比较两组临床疗效、术后并发症发生率,创口恢复情况,术后中等及以上疼痛、复发、肛门外观平整和功能较好情况。结果观察组总有效率92.31%显著高于对照组的62.50%,差异具有统计学意义(P<0.05)。观察组创口出血量(97.03±2.52)ml少于对照组的(98.95±3.54)ml,创口愈合时间(12.25±2.25)d、创缘水肿时间(1.15±0.07)d及住院时间(4.23±2.20)d均短于对照组的(22.65±3.24)、(2.89±0.56)、(7.75±2.35)d,差异具有统计学意义(P<0.05)。观察组并发症发生率3.85%低于对照组的29.17%,差异具有统计学意义(P<0.05)。观察组术后中等及以上疼痛占比7.69%低于对照组的33.33%,肛门外观平整占比96.15%、肛门功能较好占比76.92%均高于对照组的58.33%、41.67%,差异具有统计学意义(P<0.05);两组复发率对比差异无统计学意义(P>0.05)。结论对肛瘘患者采取内口挂线引流联合开放式瘘管切除术治疗,可促进患者术后快速康复,改善肛门功能,降低并发症发生率,值得临床参考。Objective To investigate the effect and safety of incision-thread-drawing procedure combined with open fistulectomy in the treatment of anal fistula.Methods A total of 50 patients with anal fistula were randomly divided into observation group(26 cases)and control group(24 cases).The observation group was treated with a combination of incision-thread-drawing procedure and open fistulectomy,while the control group was treated with conventional surgery.The clinical efficacy,postoperative complication rate,wound recovery,postoperative moderate and above pain,recurrence,smooth appearance of anus and anal function were compared between the two groups.Results The total effective rate of the observation group was 92.31%,which was significantly higher than 62.50%of the control group,and the difference was statistically significant(P<0.05).The wound bleeding volume(97.03±2.52)ml in the observation group was less than(98.95±3.54)ml in the control group,and the wound healing time(12.25±2.25)d,the wound edge edema time(1.15±0.07)d and the hospitalization time(4.23±2.20)d were shorter than(22.65±3.24),(2.89±0.56)and(7.75±2.35)d of the control group.All the differences were statistically significant(P<0.05).The complication rate 3.85%in the observation group was lower than 29.17%in the control group,and the difference was statistically significant(P<0.05).The proportion of postoperative moderate and above pain 7.69%in the observation group was lower than 33.33%in the control group,and the proportion of anus with smooth appearance and better function were 96.15%and 76.92%,which were higher than 58.33%and 41.67%in the control group.All the differences were statistically significant(P<0.05).There was no statistically significant difference in recurrence rate between the two groups(P>0.05).Conclusion Incision-thread-drawing procedure combined with open fistulectomy in anal fistula patients can promote postoperative recovery,improve anal function and reduce the complication rate,which is worthy of clinical reference.

关 键 词：内口挂线引流 开放式瘘管切除术 肛瘘 

分 类 号：R657.16[医药卫生—外科学]