【作者】 陈映辉；

【导师】 陈红锦；

【作者基本信息】 南京中医药大学 ， 中医外科学， 2012， 硕士

【摘要】 目的：低位单纯性肛瘘是肛肠科临床常见疾病之一,常采用传统的肛瘘切开术来治疗。尽管肛瘘切开术疗效肯定,但存在着术后创面愈合时间长、肛门外形及功能有可能损伤的不足。为了探讨一种既能治愈肛瘘,又能减少术后创伤、增加患者术后的舒适度、缩短创面愈合时间,且对肛门外观及功能的维护优于传统肛瘘切开术的新方法,我们设计了本试验。方法：选取符合纳入标准的低位单纯性肛瘘患者40例,随机分为2组,治疗组和对照组各20例。治疗组采用内口荷包缝合加肛瘘切除全层缝合术,对照组采用肛瘘切开术。观察比较手术后两组患者的总疗效、术后疼痛程度、渗血情况、疼痛持续时间、创画愈合时间、术后肛门外观及肛门功能等情况。结果：治疗组在术后疼痛程度、疼痛持续时间、术后创面愈合时间、术后疤痕面积大小肛门外观及功能方面优于对照组；而在总疗效、治愈率、复发率等方面,两组间差异无统计学意义。结论：1、内口荷包缝合加肛瘘切除全层缝合术治疗低位单纯性肛瘘与传统的肛瘘切开术相比,术后创伤小、创面愈合时间短、术后患者的舒适度、对肛门外观及功能的维护优于肛瘘切开术。2、与传统的肛瘘切开术相比较,总疗效、复发率相当,且不增加术后并发症更多还原

【Abstract】 Objective:Lower simple anal fistula is one of diseases which are common in clinic, it is often traeted by the traditional fistulectomy. Although fistulectomy can cure anal fistula, Its deficiency contains that the time of wound healing is longer after operation and can trauma anal function.We design this trial to evaluate a new operation procedure in the treatment of anal fistula that can guarantee the healing rate, reduce trauma and suffering, shorten time of treatment,and can much more protect anal appearance and function than the traditional fistulectomy.Methods:40samples are randomly divided into two groups.The therapy group and the control group are have20sample sseparately.The therapy group adopts the procedure of suturing inner jaw pouch-like and suturing all-layers wound.The control group adopts fistulectomy. Observing and analyzing the clinical curative effect,pain and bleeding after operation,time of pain and treatment,postoperative anal appearance and function.Results:Compared with the two groups, The postoperative pain,time of pain and treatment, postoper-ative scar area and anal appearance and function are obvious different(P<0.05).They have no obvious differences in the clinical curative effect,curing rate and recurrence (P>0.05).Conclusion:1.The procedure of suturing inner jaw pouch-like and suturing all-layers wound can reduce trauma and suffering, shorten time of treatment,and can much more protect anal appearance and function than the.2.Compared with the two groups,they are no difference in clinical curative effect and recurrence, the procedure of suturing inner jaw pouch-like and suturing all-layers wound did not increase postoperative complications.更多还原