Clinical observation on treatment of high anal fistula with umbrella incision and double thread drawing
MA Shumei1 DU Guanchao2 ZHU Zibei1 REN Yi1 LI Huashan3
1.Department of Analrectal, Shijingshan District Hospital of Traditional Chinese Medicine, Beijing 100043, China;
2.Department of Andrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China;
3.Department of Analrectal, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Abstract：Objective To evaluate the efficacy of umbrella incision and double thread drawing in the treatment of high anal fistula. Methods From January 2015 to January 2020, a total of 60 patients with high anal fistula were selected from the Department of Anorectal, Shijingshan District Hospital of Traditional Chinese Medicine, they were divided into treatment group (30 cases) and control group (30 cases) according to the random number table method. The treatment group were treated with umbrella incision and double thread drawing, the control group were treated with traditional incision and thread drawing. The clinical efficacy, postoperative pain, time of thread falling off, wound healing time and anal function were compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P ＞ 0.05). The time of tightening thread and wound healing in the treatment group were shorter than those in the control group (P ＜ 0.05). The wexner score of anal function at 20 days and three months after operation was lower than that of the control group (P ＜ 0.05). The pain scores in the treatment group were lower on the 7th and 14th day after operation than the control group (P ＜ 0.05), the pain scores on the 7th and 14th day after operation in the two groups were lower than the first day after operation, and the pain score on the 14th day after operation was lower on the 7th day after operation (P ＜ 0.05). Conclusion Umbrella incision and double thread drawing in the treatment of high anal fistula can reduce postoperative pain, shorten the time of thread falling off and wound healing, with less damage to anal function, which is worthy of clinical application.
马树梅1 杜冠潮2 祝子贝1 任毅1 李华山3. 伞式切开双重挂线治疗高位肛瘘的临床观察[J]. 中国医药导报, 2021, 18(13): 72-75.
MA Shumei1 DU Guanchao2 ZHU Zibei1 REN Yi1 LI Huashan3. Clinical observation on treatment of high anal fistula with umbrella incision and double thread drawing. 中国医药导报, 2021, 18(13): 72-75.
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