摘要
目的观察分段挂线引流术在复杂性肛瘘治疗中的临床疗效。方法选择2013年1月至2015年6月本院收治的136例复杂性肛瘘患者为研究对象,随机分为对照组和观察组,每组各68例。对照组实施传统切开挂线引流术,观察组采用分段切开挂线对口引流术。比较两组临床总有效率、术后创面愈合时间、住院时间、肛门功恢复能情况。结果观察组临床总有效率为94.12%,显著高于对照组的77.94%,差异有统计学意义(P<0.05)。观察组创面愈合时间、住院时间分别为(20.31±3.59)d、(10.65±3.94)d,均显著短于对照组(P<0.05)。观察组术后肛门功能恢复正常率为97.06%,显著高于对照组的86.76%(P<0.05)。结论在复杂性肛瘘的临床治疗中,分段挂线引流术疗效良好,能够有效缩短肛门创面愈合时间、住院时间,利于促进术后肛门功能恢复正常。
Objective To observe the clinical effect of the treatment of complex anal fistula by segmental thread drawing drainage.Methods 136 patients with complex anal fistula admitted to our hospital from January 2013 to June 2015 were selected as the research object,They were randomly divided into control group and observation group,68 cases in each group. The control group was treated with traditional incision and thread drawing drainage,and the observation group was treated with the incision and thread drawing drainage.The total clinical effective rate,postoperative wound healing time,hospital stay,and recovery of anal function were compared between the two groups.Results The total effective rate of the observation group was 94.12%,Significantly higher than the control group 77.94%,The difference was statistically significant（P〈 0.05）.The wound healing time and hospitalization time in the observation group were（20.31±3.59） d,（10.65±3.94） d,Were significantly shorter than those in the control group（P〈 0.05）.The recovery rate of postoperative anal function in the observation group was 97.06%,Significantly higher than the control group 86.76%（P〈 0.05）.Conclusion In the clinical treatment of complex anal fistula,segmental seton drainage is effective,which can effectively shorten the healing time and hospitalization time,and promote the recovery of anal function.
出处
《结直肠肛门外科》
2017年第1期70-73,共4页
Journal of Colorectal & Anal Surgery
关键词
复杂性肛瘘
挂线引流术
肛门功能
临床疗效
complex anal fistula
seton drainage
anal function
clinical efficacy
