观察、评估瘘管隧道法切除一期缝合术治疗肛瘘的临床疗效

目的 观察、评估瘘管隧道法切除一期缝合术治疗肛瘘的临床疗效.方法 选择在某院就诊的200名肛瘘患者的临床资料,按照治疗方式不同随机分为采用肛瘘瘘管隧道切除法联合一期缝合术治疗的观察组和采用肛瘘切除缝合出的对照组,观察术后两组患者创面愈合时间、瘢痕大小、感染发生情况,随访患者治疗后复发情况、并发大便失禁情况,并判定疗效.结果 观察组患者治愈59例、好转35例、无效6例,治愈率59％,治疗效果明显好于对照组；观察组患者术后创面愈合时间明显缩短、手术瘢痕明显变小、发生创口感染的例数明显变少,出现大小便失禁和复发的例数均明显少于对照组.结论 肛瘘瘘管隧道切除法联合一期缝合术能够有效提高肛瘘治愈率、控制术后并发症的出现,对于疾病的治疗具有积极意义.

Observation and assessment of clinical efficacy about fistula tunnel resectional therapy and primary suture in the treatment of anal fistula

OBJECTIVE To observe and assess the clinical efficacy of fistula,tunnel resectional therapy and primary suture in the treatment of anal fistula.METHODS Collect clinical data of 200 anal fistula patients were collected.200 patients were divided into observation group and control group according to different therapy ways.Then observe two groups of patients with postoperative wound healing,scar size,infection rate follow up of patients after treatment,recurrence,and fecal incontinence,and judge the curative effect.RESULTS In the observation group,59 cases were cured,35 cases improved,6 cases are invalid,and the cure rate was 59%.The therapeutic effect was obviously better than the control group;The observation group patients with postoperative wound healing time obviously shortened,operation scar significant became smaller.The wound infection occurred in number of cases significantly became fewer,and incontinence occurs and recurrence in patients with numbers were significantly less than that those in the control group.CONCLUSION Tunnel resectional therapy and primary suture which can improve the cure rate of anal fistula,control postoperative complications.This method is better for application in clinics.