不同手术方式治疗高位复杂肛瘘的疗效观察

目的:探讨不同手术方式治疗高位复杂肛瘘的临床效果。方法:选择2008年6月～2010年6月40例高位复杂肛瘘患者.随机分为对照组和观察组,每组20例,对照组采用肛门外瘘旷置加肛管内主管挂线法治疗,观察组应用主管切开切开挂线支管对口引流治疗。观察两组患者的临床疗效、治愈时间、复发情况以及并发症情况。结果:观察组一次手术治愈率95.00%,明显高于对照组的80.00%,P<0.05;对照组的治愈时间为(32.78±7.94)d,显著多于观察组的(18.46±3.57)d,P<0.05;术后随访半年,观察组无1例复发,对照组有3例复发,二者相比有统计学差异,P<0,05;两组无肛门变形、皮肤缺损、肛门狭窄等并发症。结论:主管切开挂线支管对口引流术治疗高位复杂肛瘘临床疗效好,复发率低,并发症少,是较为理想的手术方式。

The Clinical Therapeutic Effects of Different Surgical Methods on High Complex Anal Fistula

Objective:To explore the clinical therapeutic effects of different surgical methods on high complex anal fistula. Methods:40 cases of high complex ana! fistula selected from June 2008 to June 2010 wer.randomly divided into control group and observation group,20 patients in each group.Control group received tying therapy on main fistula with external anal fistulate laid aside,then the observation group was performed by cutting and tying therapy on main fistula with the branch suitable drainage treatment-The clinical efficacy,healing time,recurrence and complications were observed in two groups.Results:The cure rate of the observation group(95.00%) was significantly higher than that of the control group(80.00%) P<0.05;The healing time of the control group(32.78±7.94)d was significantly more than that of the observation group(18.46±3.57)d,P<0.05;Cases of recurrence in the control group(3 cases) were more than that in the observation group(0 case),P<0.05;There was no significant difference between the two groups in complications,such as anal deformation(0 case),skin defects(0 case),anat stenosis(0 case),P>0.05.Conclusion:Cutting and tying therapy on main fistula with the branch suitable drainage treatment was a more effective surgical method for high complex anal fistula with fewer complications.