作　　者： (王宏斌）;

机构地区： 四川地质医院外科,四川省成都市610081

出　　处： 《临床合理用药杂志》 2017年第24期158-159,共2页

摘　　要： 目的探讨低位切开结合引流挂线法治疗高位肛瘘的临床疗效。方法选取四川地质医院2010—2016年收治的高位肛瘘患者188例,根据随机数字表法分为对照组(n=94)和研究组(n=94)。对照组患者采取低位切口挂线法治疗,研究组患者予以低位切口结合引流挂线术治疗。比较两组患者的临床效果、创面愈合时间及麻醉恢复、更换敷料、首次排便、肛门检查时的疼痛评分。结果两组患者治疗总有效率比较,差异无统计学意义(P>0.05)。研究组患者创面愈合时间短于对照组,麻醉恢复后疼痛评分、更换敷料疼痛评分、首次排便疼痛评分和肛门检查疼痛评分低于对照组(P<0.05)。结论采用低位切开结合引流挂线法治疗高位肛瘘具有良好的临床效果,可快速促进疾病恢复,缓解疼痛程度。 Objective To investigate the clinical effect of low incision combined with drainage line treatment in treating high anal fistula. Methods A total of 188 cases of high anal fistula patients were selected from 2010 to 2016 years in Sichuan Geological Hospital,which were divided into control group（ n = 94） and study group（ n = 94） according to random number table. Control group was treated with low incision seton therapy,study group was treated with low incision combined with drainage line. The clinical effect,wound healing time and the pain scores of anesthesia recovery,replacing the dressing,first defecation and anal examination were compared between the two groups. Results No statistically significant difference of clinical effect was found between the two groups（ P〉0. 05）. The study group of wound healing time was shorter than control group,the pain scores of anesthesia recovery,replacing the dressing,first defecation and anal examination were lower than control group（ P〈0. 05）. Conclusion Low incision combined with drainage seton therapy has a good clinical effect in treating high anal fistula,it can obviously promote disease recovery,and reduce postoperative pain degree.

关 键 词： 肛瘘 低位切开 引流挂线 治疗结果