不同术式在复杂性肛瘘支管治疗中的对比分析.doc

不同术式在复杂性肛瘘支管治疗中的对比研究 Clinical Comparison Study of Therapy for the branch tunnel of Complex Anal Fistula with Different Operations Zhang shengwei (Surgery of Traditional Chinese Medicine) Directed by Liu Dianwen Abstract Objective：Use different operations cure the branch tunnel of Complex Anal fistula and compare the curative effect of the therapy in order to find out the merit and the flaw of these different operations . Methods：60 patients were divided randomly into therapy group and control group. Therapy group was divide drandomly into 3 groups after exploration during operation. They were therapy group A (Fenestration and loose thread-drawing Therapy)； therapy group B (Fenestration and Put aside Therapy) and therapy group C (thread-dragging through fistula). Control group use the traditional incision and drainage. Compare the curative effect，rate of recurrence，healing by first intention， healing time，anal function and the degree of pain between the groups. Results：No in curative effect，the rate of recurrence and healing by first intention(P﹥0.05)，but therapy group could shorten the recovery time of the wound. (P﹤0.01)，there were no difference between therapy group and control group. Significant difference in the degree of pain in therapy group B (P﹤0.01)，but there were no significant difference between other group .All cases were followed for 3 to 6 months，there were no difference between therapy groups on incontinence and Anal functional(P﹥0.05), but Significant difference between therapy groups and control group(P﹤0.05). Conclusion：In the precondition of the same curative effect，rate of recurrence and healing by first intention，the therapy group with advantages of better protection of fewer degree of pain .there were no patients accept the therapy group B because of the significant degree of pain. All four different operations were an effective resolution，but compared with the other group，therapy group A (Fenestration and loose thread-drawing) and therapy grou