保留括约肌挂线法在复杂性肛瘘中的应用效果及并发症发生率影响评价

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (1): 19-.

保留括约肌挂线法在复杂性肛瘘中的应用效果及并发症发生率影响评价

广州市增城区中心医院普通外科，广东广州 511300

出版日期:2022-01-01 发布日期:2022-03-22

Effect and complication rate impact evaluation of sphincter preserving hanging wire method in complex anal fistulas

General Surgery Department of Guangzhou Zengcheng District Central Hospital,Guangdong Guangzhou 511300,China

Online:2022-01-01 Published:2022-03-22

摘要/Abstract

摘要：

目的探究复杂性肛瘘患者应用保留括约肌挂线法治疗的效果。方法随机选取2019年3 月至2021 年3 月广州市增城区中心医院接收的复杂性肛瘘患者120 例作为研究对象，使用数字表法分为对照组和观察组，每组各60 例。对照组采用常规瘘管切除术治疗，观察组采用保留括约肌挂线法治疗。比较两组患者治疗效果、术中情况以及术后并发症发生率。结果观察组患者治疗有效率高于对照组（P ＜ 0.05）；观察组患者术中出血量少于对照组，手术时间短于对照组（P ＜ 0.05）；观察组患者术后并发症发生率低于对照组（P ＜ 0.05）。结论在复杂性肛瘘患者治疗中应用保留括约肌挂线法效果显著，可促进患者康复，并减少术后并发症发生。

关键词: 保留括约肌, 挂线法, 复杂性肛瘘, 应用效果

Abstract:

Objective To investigate the effects of the application of sphincter preserving hanging wire method in patients with complex anal fistulas. Method A total of 120 patients with complicated anal fistula who were admitted to Guangzhou Zengcheng District Central Hospital from March 2019 to March 2021 were randomly selected as the study subjects and divided into control and observation groups using the number table method, with 60 patients in each group. The control group was treated by conventional fistula resection, and the observation group was treated by sphincter preserving hanging wire method. Treatment outcomes, intraoperative conditions, as well as postoperative complication rates were compared between the 2 groups. Result patients in the observation group had a higher response rate to treatment than those in the control group (P ＜ 0.05), patients in the observation group had less intraoperative blood loss and a shorter operative time than the control group (P ＜ 0.05), and patients in the observation group had a lower rate of postoperative complications than those in the control group (P＜ 0.05). Conclusion The application of sphincter preserving hanging wire method in the treatment of patients with complex anal fistulas is highly effective, which may promote patient recovery and reduce the occurrence of postoperative complications.

Key words: Sphincter preserving, Hanging wire method, Complicated anal fistula, Effect of application

业艳. 保留括约肌挂线法在复杂性肛瘘中的应用效果及并发症发生率影响评价 [J]. 临床普外科电子杂志, 2022, 10(1): 19-.

YE Yan. Effect and complication rate impact evaluation of sphincter preserving hanging wire method in complex anal fistulas [J]. Journal of General Surgery for Clinicians, 2022, 10(1): 19-.