不同手术方法对高位复杂性肛瘘患者肛门功能的影响  

Impact of Different Surgical Methods on the Anal Function of Patients with High Complex Anal Fistula

作　　者：梁旭 董倩倩[1] 崔永欣[1] 智会[1] 连加玉[1] LIANG Xu;DONG Qianqian;CUI Yongxin;ZHI Hui;LIAN Jiayu(Department of Anorectal Surgery,Zhoukou Central Hospital,Zhoukou 466000,China)

机构地区：[1]周口市中心医院肛肠外科,河南周口466000

出　　处：《临床医学工程》2024年第8期969-970,共2页Clinical Medicine & Engineering

摘　　要：目的探讨传统切开挂线术和切开挂线选择性缝合术治疗高位复杂性肛瘘患者的效果。方法84例高位复杂性肛瘘患者按手术方式的不同分为两组,对照组采取传统切开挂线术治疗,研究组采取切开挂线选择性缝合术治疗,比较两组的治疗效果、疼痛程度、肛门功能、术后并发症。结果研究组的治疗总有效率明显高于对照组,术后7d的VAS评分、术后6个月的Wexner评分、术后并发症发生率均明显低于对照组(P<0.05)。结论与传统切开挂线术相比,切开挂线选择性缝合术治疗高位复杂性肛瘘患者的效果更好,可降低患者疼痛程度,改善肛门功能,降低术后并发症发生率。Objective To explore the effects of traditional incision-thread-drawing surgery and incision-seton selective suture surgery in the treatment of patients with high complex anal fistula.Methods 84 patients with high complex anal fistula were divided into two groups according to different surgical methods.The control group was treated with traditional incision-thread-drawing surgery,while the study group was treated with incision-seton selective suture surgery.The therapeutic effect,pain degree,anal function and postoperative complications were compared between the two groups.Results The total effective rate of treatment in the study group was significantly higher than that in the control group,and the VAS score at 7 days after surgery,the Wexner score at 6 months after surgery and the incidence of postoperative complications were significantly lower than those in the control group(P<0.05).Conclusions Compared with traditional incision-thread-drawing surgery,incision-seton selective suture surgery is more effective in the treatment of patients with high complex anal fistula,which can reduce the pain degree,improve anal function and reduce the incidence of postoperative complications of patients.

关 键 词：切开挂线选择性缝合术 传统切开挂线术 高位复杂性肛瘘 

分 类 号：R657.16[医药卫生—外科学]