红橡胶导尿管单向切割并自动收紧挂线术治疗高位肛瘘的临床疗效  

Clinical effect of red rubber catheter one-way cutting and automatic tightening seton in the treatment of high anal fistula

作　　者：汪志华 邹世镇 罗东明 WANG Zhi-hua;ZOU Shi-zhen;LUO Dong-ming(Department of General Surgery,Liuzhou Workers Hospital,Liuzhou 545007,Guangxi,China)

机构地区：[1]柳州市工人医院普外科,广西柳州545007

出　　处：《川北医学院学报》2023年第5期630-633,共4页Journal of North Sichuan Medical College

基　　金：广西壮族自治区卫生健康委员会自筹科研项目(Z20200512)。

摘　　要：目的:探讨红橡胶导尿管单向切割并自动收紧挂线术治疗高位肛瘘的临床疗效。方法:选取70例高位肛瘘患者为研究对象,根据治疗方式不同分为对照组和观察组,每组各35例。对照组采用用传统挂线术治疗;观察组采用红橡胶管单向切割并自动收紧挂线术治疗。比较两组患者临床疗效、创面恢复时间及住院时间、术后视觉模拟评分法(VAS)、术后6个月复发情况、术后远期肛门功能(Wexner评分)及随访期间并发症发生情况。结果:两组患者治愈率、术后6个月复发及并发症发生情况比较,差异无统计学意义(P>0.05)。与对照组相比,观察组患者创面恢复时间及住院时间更短(P<0.05)。术后,两组患者VAS评分、Wexner评分均随时间推移逐渐下降(P<0.05),且各时间点观察组均低于对照组(P<0.05)。结论:红橡胶导尿管单向切割并自动收紧挂线术与传统挂线术均能达到满意的临床疗效,但前者术后疼痛较轻,创面恢复更快,肛门功能更好。Objective:To investigate the clinical effect of one-way cutting and automatic tightening of red rubber catheter in the treatment of high anal fistula.Methods:70 patients with high anal fistula were selected as the research objects.According to different treatment methods,patients were divided into control group and observation group,35 cases in each group.The control group hanging line method selected the traditional hanging line method,the observation group seton method selected red rubber catheter unidirectional cutting and automatic tightening seton.The clinical efficacy,wound healing time and hospitalization time,postoperative pain,recurrence(6 months after operation),postoperative long-term anal function Wexner score and complications during follow-up were compared between the two groups.Results:There was no significant difference in cure rate,recurrence and complications between the two groups(P>0.05).The wound healing time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After operation,the VAS scores and Wexner scores of the two groups decreased with the passage of time(P<0.05),and the observation group was lower than the control group at each time point(P<0.05).Conclusion:Red rubber catheter one-way cutting and automatic tightening seton and traditional seton can achieve satisfactory clinical efficacy,but the former has more advantages in reducing pain,promoting wound healing and protecting anal function.

关 键 词：高位肛瘘 肛瘘切除挂线法 单向切割 临床疗效 

分 类 号：R605[医药卫生—外科学]