拖线置管术和切开挂线术治疗高位复杂性肛瘘效果比较及对肛管直肠压力影响.docVIP

拖线置管术和切开挂线术治疗高位复杂性肛瘘效果比较及对肛管直肠压力影响 　　[摘要]目的 比较拖线置管术和切开挂线术治疗高位复杂性肛瘘的效果及对肛管直肠压力的影响。方法 选择2013年9月～2015年6月前来我院就诊的高位复杂性肛瘘患者84例，将其随机分为两组，实验组42例采用拖线置管术进行治疗，对照组42例采用切开挂线术进行治疗。比较两组的治愈率与愈合时间，距肛门20、30 mm处的肛管直肠压力（20、30 mm收缩压与20、30 mm静息压），随访6个月的复发率。结果 实验组愈合时间明显短于对照组（P0.05）。结论 拖线置管术治疗高位复杂性肛瘘的效果优于切开挂线术，治愈时间缩短，对肛管直肠压力影响小，值得推广。 　　[关键词]拖线置管术；切开挂线术；高位复杂性肛瘘；肛管直肠压力；肛门功能 　　[中图分类号] R657.1+6 [文献标识码] A [文章编号] 1674-4721（2016）12（a）-0032-03 　　Effect comparision of drag line intubation and incision-thread-drawing procedure treating high complex anal fistula and influence on anorectal pressure 　　LI Chong 　　Department of General Surgery，the Fifth People′s Hospital of Nanhai District in Foshan City of Guangdong Province，Foshan 528231，China 　　[Abstract]Objective To compare the effect of drag line intubation and incision-thread-drawing procedure treating high complex anal fistula and influence on anorectal pressure.Methods 84 patients with high complex anal fistula treated by our hospital from September 2013 to June 2015 were selected and they were randomly divided into two groups and experimental group （n=42） was treated by drag line intubation，control group （n=42） was treated by incision-thread-drawing procedure.Cure rate，healing time，anorectal pressure from the anus 20 mm and 30 mm （20 mm and 30 mm systolic pressure and resting pressure） and recurrence rate when patients were followed-up for 6 months between two groups was compared respectively.Results The healing time of experimental group was significantly shorter than that of control group （P0.05）.Conclusion The effect of drag line intubation treating high complex anal fistula is better than that of incision-thread-drawing procedure，cure time is shortened，and it has little influence on anorectal pressure.It is worthy of promotion. 　　[Key words]Drag line intubation；Incision-thread-drawing procedure；High complex anal fistula；Anorectal pressure；Anal function 　　高位复杂性肛瘘的瘘管位于外括约肌深部以上，存在多个瘘口和瘘管[1]，是肛肠科的难治性疾病，患者痛苦巨大，常需手术才能治疗，切开挂线术是常用的手术疗法，但本病