摘要
目的:比较虚实结合挂线法与实挂线法治疗高位肛瘘的临床效果。方法:我院肛肠科2014年1月至2015年12月手术的高位肛瘘患者73例,在正确找到内口并处理内口的前提下,试验组46例采用虚实结合挂线法(即术中实挂线,结扎线松动时不紧线,采用丝线虚挂引流,待瘘道肉芽组织填充后再拆线),对照组27例采用内口上方实挂线(即术中实挂线,挂线后每周紧线,直至肛直环完全勒断)。术后观察愈合情况、疼痛及复发情况,并作定期随访。结果:两组在治愈率、复发率方面的差异无统计学意义;试验组比对照组所需愈合时间更短(P<0.05),在减轻术后疼痛及保护肛门功能方面优于对照组(P<0.05)。结论:两种挂线方法的治愈率差异无统计学意义,但虚实结合挂线法治疗高位肛瘘较传统的实挂线法能更好的保护肛直环,保证肛门括约功能,减少了肛门不全失禁的发生。
Objective:To compare the clinical effect of treating high anal fistula with combination of dotted and solid thread-ligating therapy and traditional solid thread-ligating therapy.Methods:Patients with high anal fistula in our hospital from January 2014 to December 2015 were selected.In the premise of finding the internal opening and handling it correctly, patients in experimental group were treated with combination of dotted and solid thread-ligating therapy, and patients in control group were treated with traditional solid thread-ligating therapy.A total of 73 patients received treatment, including 46 patients in the experimental group and 27 patients in the control group.The healing condition, pain and recurrence were observed after operation.Results:There was no statistically significant difference in cure rate and recurrence rate between the two groups.The healing time, pain degree, protection of anus of experimental group was superior to that of control group(P<0.05).Conclusion:There is no statistically significant difference in the cure rate between the two therapies, but treating high anal fistula with combination of dotted and solid thread-ligating therapy can better protect the rectal ring and the function of anal sphincter, and reduce the incidence of incomplete anal incontinence.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2017年第2期587-590,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
高位肛瘘
虚实结合挂线
传统实挂线
High anal fistula
Combination of dotted and solid thread-ligating therapy
Traditional solid thread-ligating therapy
