切除缝合内口加隧道式拖线术治疗蹄铁型肛瘘的临床研究

为探讨切除缝合内口加隧道式拖线术治疗蹄铁型肛瘘的临床疗效，将80例患者随机分为治疗组和对照组各40例，以治愈时间和术后并发症为主要观察指标。结果显示，治疗组平均治愈时间为（21±3．5）d，术后平均疼痛时间为（5．2土3．2）d；对照组分别为（38±3．7）d和（10．5±4．6）d。两组差异均有统计学意义（P〈O．05）。治疗组均未出现明显肛门畸形、肛门失禁等后遗症。结果表明，切除缝合内口加隧道式拖线术治疗蹄铁型肛瘘，能缩短疗程，保护肛门括约肌功能和保持肛门皮肤的完整，减轻患者疼痛，提高生活质量。

Clinical Study on the Therapeutic Efficacy of the Procedure of Resection and Suture of the Internal Opening plus Tunnel Drawing Thread Drainage in the Treatment of Horse-shoe Anal Fistula

Eighty patients with horse-shoe anal fistula were randomized into the study group（ n =40） and the control group（ n =40） ,and patients in the study group underwent the procedure of resection and suture of the internal opening plus tunnel drawing thread drainage（RS-TDTD）, to observe major index ie. cure time and postopeative complications thus the clinical effect of the procedure was just investigated in this study. As results, the average cure time and postoperative pain time in the study and control groups were （21±3.5） days vs （38±3.7） days and （5.2±3.2） days vs （10.5±4.6） days respectively（P 〈0.05）. No such notable sequelae as anal malformation and anal incontinence were found. It is concluded that the procedure of RS-TDTD can ensure a better therapeutic results of house-shoe anal fistula in terms of better efficacy, shorter course of treatment, protection of anal function, keeping anal skin integrity, relieve pain and raise the life quality of patients.