切开缝合联合挂线术治疗肛瘘临床效果观察.docVIP

切开缝合联合挂线术治疗肛瘘临床效果观察 　　【摘要】 目的：探讨对肛瘘患者行切开缝合联合挂线术的临床疗效。方法：选取2012年1月-2015年1月于笔者所在医院接受治疗的200例肛瘘患者，将其按照（0，1）分布随机分为两组。对照组行单纯低位切开高位挂线术，观察组行切开缝合联合挂线术，比较两组的治疗及预后情况。结果：观察组的治疗费用和治疗时间均少于对照组，并发症发生率为3.0%，低于对照组的15.0%，复发率为5.0%，低于对照组的15.0%，差异均有统计学意义（P0.05）；对照组治疗总有效率为80.0%，痊愈率为53.0%，均低于观察组的95.0%和75.0%，差异均有统计学意义（P0.05）。结论：采用切开缝合联合挂线术对肛瘘进行治疗，可缩短治疗时间，减少治疗费用，预防并发症，降低复发率，效果显著。 　　【关键词】 切开缝合联合挂线术； 肛瘘； 临床效果； 痊愈率 　　中图分类号 R657.16 文献标识码 B 文章编号 1674-6805（2016）16-0127-02 　　【Abstract】 Objective：To investigate the clinical efficacy of anal fistula underwent cutdown and joint operation line.Method：200 cases of anal fistula were selected from January 2012 to January 2015 treated in our hospital，according to the distribution of （0，1），they were randomly divided into two groups.The control group was treated with single low position incision，the observation group was treated by open suture combined with thread cutting，the treatment and prognosis of the two groups were compared.Result：The treatment costs and treatment time of the observation group were less than those of the control group，the complication rate was 3.0%，which lower than the control group（15.0%），the recurrence rate was 5.0%，which lower than the control group（15.0%），the differences were statistically significant（P0.05）；the total effective rate of the control group was 80.0%，and the cure rate was 53.0%，which were lower than those of the observation group of 95.0% and 75.0%，the differences were statistically significant（P0.05）.Conclusion：The incision combined with suture surgery treatment for anal fistula，can shorten the treatment time，reduce the cost of treatment，prevention of complications，reduce the recurrence rate，obvious curative effect. 　　【Key words】 Incision combined with suture thread surgery； Anal fistula； Clinical effect； Cure rate 　　First-author’s address：The People’s Hospital of Miyi County，Miyi 617200，China 　　doi：10.14033/j.cnki.cfmr.2016.16.065 　　人体直肠和肛门间的肛窦内有细菌进入，并且引起肛门直肠脓肿，脓肿破溃或手术切开排脓后形成腔道，其愈合迁延导致肛瘘[1]。脓肿破溃部位会发生多次感染