切開掛線對口引流術治療高位復雜性肛瘺的臨床觀察

莊鑫

[摘要] 目的 探討切開掛線對口引流術治療高位復雜性肛瘺的臨床效果。 方法 選擇2016年1～6月80例高位復雜性肛瘺患者分組。對照組采取傳統手術治療，切開掛線組實施切開掛線對口引流術治療。比較兩組高位復雜性肛瘺療效；創面完全愈合時間、術后平均住院時間、術后疼痛持續時間；干預前后患者疼痛程度、排便功能、生活質量；術后肛門狹窄等并發癥發生率。 結果 切開掛線組高位復雜性肛瘺療效高于對照組（P<0.05）；切開掛線組創面完全愈合時間、術后平均住院時間、術后疼痛持續時間優于對照組（P<0.05）；干預前兩組疼痛程度、排便功能、生活質量相近（P>0.05）；干預后切開掛線組疼痛程度、排便功能、生活質量優于對照組（P<0.05）。切開掛線組術后肛門狹窄等并發癥發生率低于對照組（P<0.05）。 結論 切開掛線對口引流術治療高位復雜性肛瘺的臨床效果確切，可有效改善患者臨床疼痛，減少術后并發癥出現，促進排便功能和生活質量改善，值得推廣應用。

[關鍵詞] 切開掛線；口引流術；高位復雜性肛瘺；排便功能

[中圖分類號] R657.1+6 [文獻標識碼] B [文章編號] 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.