切开挂线对口引流术治疗高位复杂性肛瘘的临床观察

庄鑫

[摘要] 目的 探討切开挂线对口引流术治疗高位复杂性肛瘘的临床效果。 方法 选择2016年1～6月80例高位复杂性肛瘘患者分组。对照组采取传统手术治疗，切开挂线组实施切开挂线对口引流术治疗。比较两组高位复杂性肛瘘疗效；创面完全愈合时间、术后平均住院时间、术后疼痛持续时间；干预前后患者疼痛程度、排便功能、生活质量；术后肛门狭窄等并发症发生率。 结果 切开挂线组高位复杂性肛瘘疗效高于对照组（P<0.05）；切开挂线组创面完全愈合时间、术后平均住院时间、术后疼痛持续时间优于对照组（P<0.05）；干预前两组疼痛程度、排便功能、生活质量相近（P>0.05）；干预后切开挂线组疼痛程度、排便功能、生活质量优于对照组（P<0.05）。切开挂线组术后肛门狭窄等并发症发生率低于对照组（P<0.05）。 结论 切开挂线对口引流术治疗高位复杂性肛瘘的临床效果确切，可有效改善患者临床疼痛，减少术后并发症出现，促进排便功能和生活质量改善，值得推广应用。

[关键词] 切开挂线；口引流术；高位复杂性肛瘘；排便功能

[中图分类号] R657.1+6 [文献标识码] B [文章编号] 1673-9701（2018）04-0054-03

[Abstract] Objective To investigate the clinical effect of incision and thread-drawing stoma drainage in the treatment of high complex anal fistula. Methods From January to June 2016， 80 patients with high complex anal fistula were selected and divided into groups. The control group was given traditional surgical treatment， and the incision and thread-drawing group was given incision and thread-drawing stoma drainage therapy. The curative effect of high complex anal fistula； wounds complete healing time， average postoperative length of hospital stay， postoperative pain duration； the degree of pain， bowel movement function and quality of life before and after intervention； the incidence rate of postoperative anal stenosis and other complications were compared between the two groups. Results The curative effect of high complex anal fistula in the incision and thread-drawing group was higher than that in the control group（P<0.05）； the complete wound healing time， postoperative average length of stay， and postoperative pain duration in the incision and thread-drawing group were better than those in the control group（P<0.05）； before intervention， the pain degree， bowel movement function and quality of life were similar in both groups（P>0.05）； after intervention， the degree of pain， bowel movement function and quality of life in the incision and thread-drawing group were better than those in the control group（P<0.05）. The incidence rate of complications such as anal stenosis and other complications in the incision and thread-drawing group was lower than that in the control group（P<0.05）. Conclusion The clinical effect of incision and thread-drawing stoma drainage in the treatment of high complex anal fistula is exact， which can effectively improve the patient's clinical pain， reduce the occurrence of postoperative complications， promote bowel movement function and improve the quality of life， which is worthy of promotion and application.