摘要
为降低高位复杂性肛瘘一次性切开术的原位复发率，缩小手术瘢痕面积，将高位复杂性肛瘘80例随机分为观察组和对照组各40例。观察组肛管段瘘管切开后，夹入引流片缝合，3d后逐日逐级向上拆线，最后开放引流。对照组肛管段瘘管切开后，创口敞开填入引流条，每天更换引流条，直至创121愈合。结果显示，观察组原位复发率为0，平均愈合时间24．5d，瘢痕宽度〉0.8cm者仅22．5％。对照组原位复发率为25％，平均愈合时间2g．9d，瘢痕宽度〉0.8cm者达95％。结果表明，切口隔离缝合延迟开放法治疗高位复杂性肛瘘，具有愈合快，复发率低，瘢痕小的优点。
The objective of the trial was to reduce the recurrence rate in situ and scar size after the primary incision of high complex anal fistula. 80 cases were evenly divided into two groups. 40 cases in the trial group underwent fistula incision,interrupted suture with drainage things inserted between stitches day-to- day removal of stitches from lower to high position starting from the 3rd day,and open drainage. While the other 40 cases （the control group） underwent fistula incision,insertion and change of drainage gauze strip each day. Results showed that in the trial group there was no recurrence, the mean healing period of time was 24.5 days,and 22.5% of the patients had their scars less than 0.8cm in width;while in the control group the recurrence rate was 25.0% ,the mean healing period of time was 28.9 days,and 95.0% of the patients had their scars more than 0.8cm in width. It is revealed that the procedure of interrupted suture and delayed open drainage has the strong points of quick healing, lower recurrence and smaller scar in the treatment of high complex anal fistula.
出处
《中国肛肠病杂志》
2007年第5期17-19,共3页
Chinese Journal of Coloproctology
关键词
肛瘘
手术
疗效观察
Anal fistula
Operation
Observation of therapeutic effect
