| 摘要: |
| 目的：观察内口切除开放结合浮线引流术治疗复杂性肛瘘的临床疗效及安全性。方法：将复杂性肛瘘患者90例随机分为治疗组和对照组各45例，治疗组采用原发内口切除开放结合浮线引流术治疗，对照组采用切开挂线术治疗。结果：总有效率治疗组为97.78%，对照组为93.33%，组间比较，差异无统计学意义（P>0.05）；2组术后各时段VAS评分比较，差异均有统计学意义（P<0.05）；2组创面愈合时间及Wexner评分比较，差异均有统计学意义（P<0.05）；肛管最大收缩压（AMCP）、直肠静息压（RRP）治疗组治疗前后比较，差异无统计学意义（P>0.05），对照组治疗前后比较，差异有统计学意义（P<0.05），组间比较，差异有统计学意义（P<0.05）。结论：内口切除开放结合浮线引流术治疗复杂性肛瘘疗效明显，能较好地保护肛门功能，维持肛管最大收缩压（AMCP）及直肠静息压（RRP），减轻术后疼痛，缩短愈合时间。 |
| 关键词: 复杂性肛瘘 手术治疗 内口切除开放结合浮线引流术 |
| DOI： |
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| Clinical effect of internal resection and opening combined with suture drainage in treatment of complex anal fistula：An analysis of 45 cases |
| YANG Yi，,CAI Zeng-jin，,MAO Gang， |
| (Yongchuan Hospital of Traditional Chinese Medicine，Chongqing 402160，China) |
| Abstract: |
| Objective：To investigate the clinical effect and safety of internal resection and opening combined with suture drainage in the treatment of complex anal fistula.Methods：A total of 90 patients with complex anal fistula were randomly divided into treatment group and control group，with 45 patients in each group.The patients in the treatment group were given internal resection and opening combined with suture drainage，and those in the control group were given the incision and thread-drawing procedure.Results：There was no significant difference in overall response rate between the treatment group and the control group（97.78% vs 93.33%，P>0.05).There was a significant difference in Visual Analogue Scale score between the two groups at each time point after treatment（P<0.05).There were also significant differences between the two groups in wound healing time and Wexner score（P<0.05).The treatment group had no significant changes in anal maximum contraction pressure and rectal resting pressure after treatment（P>0.05)，while the control group had significant changes in these two indices（P<0.05)；there were significant differences between the two groups after treatment（P<0.05).Conclusion：Internal resection and opening combined with suture drainage has a marked clinical effect in the treatment of complex anal fistula and can protect anal function，maintain anal maximum contraction pressure and rectal resting pressure，reduce postoperative pain，and shorten healing time. |
| Key words: complex anal fistula surgical treatment internal resection and opening combined with suture drainage |
