摘要
为探讨低位切开部分缝合结合高位挂线治疗高位肛瘘的临床疗效，将60例高位肛瘘患者随机分为治疗组和对照组，各30例，治疗组采取低位切开部分缝合结合高位挂线术，对照组采用传统低位切开结合高位挂线术，手术切口不予特殊缝合处理。对比2组治愈率、创面愈合时间、术后肛门功能情况（Wexner评分）。结果显示，2组患者治愈率比较，差异无统计学意义，P〉0．05；但治疗组创面愈合时间、术后6个月肛门功能情况优于对照组，P〈0．05。2组术后均无复发。结果表明，低位切开部分缝合结合高位挂线治疗高位肛瘘疗效确切，患者恢复快，且能较好地保护肛门功能。
This study was to investigate the clinical effect of the procedure of low incision ＆ partial suture combined with high thread-drawing in the treatment of high anal fistula. The 60 cases of high anal fistula were randomly divided into treatment group and cotrol one, 30 cases for each; the former received above combination procedure, meanwhile the latter just received the routine procedure of low incision ＆ high thread-drawing,hut without specially suturing operative incision; then both group＇s curative rate, wound- surface healing time and postoperative function of anus（as Wexner score） were compared. As results, in curative rate there was no statistical difference between both groups （P 〉0.05）;but in wound-surface healing time,anal function at postoperation of 6 months the former was superior to the latter（ P 〈0.05） ; no recurrence cases were found in both groups.Results show that the procedure of low incision ＆ partial suture combined with high thread-drawing for high anal fistula has certain effect, faster recovery of patients, and better preserved anal function.
出处
《中国肛肠病杂志》
2016年第2期39-41,共3页
Chinese Journal of Coloproctology
基金
上海市浦东新区中医肛肠特色专科资助项目（编号：PDZYXK-1-201402）
关键词
高位肛瘘
部分缝合
高位挂线
疗效
High anal fistula
Partial suture
High thread-drawing
Effect
