内口切除结合松紧挂线术治疗高位复杂性肛瘘50例疗效观察  

Clinical Efficacy of Internal Orifice Resection Combined with Loose and Tight Thread-drawing in Treatment of 50 Cases of High Complex Anal Fistula

作　　者：陈剑虹 陈域 李艳茹 CHEN Jian-hong;CHEN Yu;LI Yan-ru(Department of Colorectal Surgery,Air Force 986 Hospital,Xijing Hospital,Xian,Shaanxi 710054)

机构地区：[1]西京医院空军第九八六医院肛肠外科,陕西西安710054

出　　处：《中国肛肠病杂志》2024年第12期37-39,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨内口切除结合松紧挂线术治疗高位复杂性肛瘘的临床疗效。方法:选取2022年5月至2023年5月,本科室治疗的100例高位复杂性肛瘘患者,随机分为治疗组及对照组,每组各50例。治疗组采用内口切除术结合松紧挂线术治疗,对照组采用传统挂线术治疗。观察比较2组临床疗效及术后并发症等情况。结果:治疗组治愈率高于对照组(P<0.05),术后疼痛评分、肛门功能评分和尿潴留发生率均低于对照组(P<0.05)。结论:高位复杂性肛瘘采用内口切除联合松紧挂线术治疗,在提高临床疗效的同时,能减少术后不良反应,保护患者肛门功能。Objective To explore the clinical efficacy of internal orifice resection combined with loose and tight thread-drawing in the treatment of high complex anal fistula.Methods A total of 100 patients with high complex anal fistula treated in our department from May 2022 to May 2023 were randomly divided into the treatment group and the control group,with 50 cases in each group.The treatment group received internal orifice resection combined with loose and tight thread-drawing,and the control group was treated with traditional thread-drawing.The clinical efficacy and postoperative complications of the two groups were observed and compared.Results The cure rate of the treatment group was higher than that of the control group(P<0.05),and the postoperative pain score,anal function score and the incidence of urinary retention were lower than those of the control group(P<0.05).Conclusion In the treatment of high complex anal fistula,internal orifice resection combined with loose and tight thread-drawing can improve the clinical efficacy,reduce postoperative adverse reactions and protect the anal function of patients.

关 键 词：高位复杂性肛瘘 内口切除 松紧结合挂线 疗效 

分 类 号：R65[医药卫生—外科学]