改良式挂线疗法治疗高位肛瘘的效果观察

目的对比改良式和传统挂线法治疗高位肛瘘的疗效。方法选择重庆市大足区人民医院2010年2月～2012年5月收治的高位肛瘘患者88例,分为治疗组和对照组,每组各44例。对照组采用传统挂线法治疗,治疗组采用改良式挂线疗法进行治疗;观察两组患者术后治疗总有效率、疼痛评分、并发症发生率,复发率。结果①两组患者在术后1 d的VAS评分差异无统计学意义（P〉0.05）,术后第3、7天治疗组VAS评分明显低于对照组,差异有统计学意义（t=4.268、4.366,P〈0.05）。②治疗组总有效率[88.64%（39/44）]明显优于对照组[65.91%（29/44）],差异有统计学意义（P〈0.05）。③治疗组术后大便失禁、肛管畸形、肛门漏气漏液等并发症发生率明显少于对照组,差异有统计学意义（P〈0.05）;治疗组复发率[6.82%（3/44）]明显少于对照组[22.73%（10/44）],差异有统计学意义（P〈0.05）。结论改良式挂线法疗效确切,预后情况好。

Curative effect observation on modified line therapy in high grade anal

Objective To compare the curative effect observation on modified line therapy in high grade anal. Meth- ods 88 cases of high anal fistula in People＇s Hospital of Dazu District in Chongqing City from February 2010 to May 2012 were selected and divided into treatment group and control group with 44 cases in each group. The control group was treated with traditional operation method, treatment group was treated with modified line therapy treatment. Total effective rate, pain score, complication occurrence rate, recurrence rate in the two groups were observed. Results （!）VAS score in the two groups 1 day after the operation was found had no statistically significant difference （P 〉 0.05）; VAS score in treatment group 3, 7 days after the operation were lower than those in control group, the differ- ences were statistically significant （t = 4.268, 4.366, P 〈 0.05）. ~）Total effective rate in treatment group [88.64% （39/ 44）] was better than that in control group [65.91%（29/44）], the differences were statistically significant （P 〈 0.05）. （~） The complication occurrence rate of fecal incontinence, anal canal malformation, anus gas leak leakage in treatment group were lower than those in control group, the differences were statistically significant （P 〈 0.05）; recurrence rate in treatment group [6.82%（3/44）] was lower than those in control group [22.73%（10/44）], the difference was statistically significant （P 〈 0.05）. Conclusion The curative effect of modified line method is definite, prognosis is good.