摘要
目的观察2种手术方法治疗高位复杂性肛瘘的临床疗效。方法将60例高位复杂性肛瘘患者随机分成2组,对照组30例采用传统切开挂线疗法,治疗组30例采用窦道切开旷置结合垫压法。观察2组术后第2、7 d创面渗出、疼痛及发热情况;统计临床疗效;随访6个月,统计复发情况。结果治疗组治愈率93.3%,对照组治愈率73.3%,2组治愈率比较差异有统计学意义(P<0.05),治疗组临床疗效优于对照组。治疗组术后2、7 d创面渗出、疼痛及发热情况均较对照组同期轻(P<0.05)。治疗组复发率6.7%,对照组复发率10.0%,2组复发率比较差异无统计学意义(P>0.05)。结论窦道切开旷置结合垫压法治疗高位复杂性肛瘘创伤小,术后并发症少,临床效果满意。
Objective To observe clinical effect of two surgical techniques in the treatment of complex high anal fistula. Methods 60 cases of complex high anal fistula were randomly divided into two groups. Control group received traditional incision thread- drawing method. Patients in treatment group（ n = 30） were treated by sinus inci- sion exclusion combined with pad pressure method. The improvement of wound exudate, pain and fever were observed on 2,7 days after surgery. Results The cure rate in treatment group （93.3 % ） was higher than that in control group （73.3% ,P 〈 0.05 ）. The improvement of wound exudate, pain and fever in treatment group was superior to that in control group on 2,7 days after surgery. There was no significant difference between two groups on recurrent rate（P 〉 0.05）. Conclusion Sinus incision exclusion combined with pad pressure method has advantages of little wound, fe- wer complications and satisfactory clinical effect.
出处
《河北中医》
2013年第6期955-957,共3页
Hebei Journal of Traditional Chinese Medicine
关键词
直肠瘘
结直肠外科手术
挂线法
Rectal fistula
Colorectal surgery
Incision thread therapy
