摘要
目的:评估左后、右后两侧切口对口引流联合挂线术治疗高位后马蹄形肛瘘的疗效。方法:将2017-2021年本院76例高位后马蹄形肛瘘手术患者,随机分为观察组和对照组,各38例。观察组采用左后、右后两侧切口对口引流联合挂线术治疗。对照组采用后正中切口、两远端对口引流联合挂线术治疗。观察比较2组愈合时间、住院时间、治愈率及肛门功能情况。结果:2组一次性治愈率及住院时间比较,差异无统计学意义(P>0.05)。观察组愈合时间短于对照组(P<0.05),术后肛门功能减弱发生率明显少于对照组(P<0.05)。结论:采用左后、右后两侧切口对口引流联合挂线术治疗高位后马蹄形肛瘘疗效显著,可缩短愈合时间,减少肛门功能损伤,值得临床推广应用。
Objective To investigate the effect of counterdrainage combined with thread-drawing in the treatment of high posterior horseshoe anal fistula(HPHSAF).Methods Randomly divided 76 patietns with HPHSAF to be subject to surgery in author’s hospital(2017-2020)into observation group(38 cases,received left-right posterior bilateral counterdrainage,plus thread-drawing)and control group(38 cases,received posterior median-both distal end counter drainage,plus thread-drawing);then,observed and compared both groups’healing time,hospitalization time,curative rate,and status on anal dys function.Results In primary curative rate,and hospitalization time there was no statistical difference between the two groups(P>0.05);but in healing time,and in the incidence of anal dysfunction,observation group was respectively shorter,and less significantly than control group(all,P<0.05).Conclusion The procedure used in observation group for HPHSAF has significant effect,can shorten healing time,reduce anal dysfunction injuried,thus is worhty to be popularized to use clinically.
作者
陈庆庆
CHEN Qing-qing(No.2 Dept.of Coloproctology,Linyi City’s Hospital of TCM,Linyi,Shandong 276000)
出处
《中国肛肠病杂志》
2022年第12期20-21,共2页
Chinese Journal of Coloproctology
关键词
高位后马蹄形肛瘘
挂线
对口引流
疗效
High posterior horseshoe anal fistula
Thread-drawing
Counterdrainage
Effect
作者简介
第一作者:陈庆庆,女,山东临沂人,主治中医师,研究方向:中医肛肠。E-mail:cqq126@163.com
