CAJ | 학술논문

目的：观察定向紧线术在高位肛瘘临床治疗中的应用价值。方法对2010年4月-2011年1月在本院的高位肛瘘患者30例进行分析。随机分为观察组（定向紧线术）和对照组（传统切开挂线紧线术）。术后随访3个月，观察两组在治疗效果、痊愈时间、术后复发率及肛门括约功能等的差异。结果发现观察组与对照组在治疗效果、痊愈时间、复发率等方面无显著差异（P ＞0．05）。观察组在手术后3月的肛门锁孔式畸形发生率、肛门失禁评分（Wexner 评分）及肛门裹指评分明显低于对照组（P ＜0．05）。结论定向紧线术可以有效地减轻挂线疗法对于高位肛瘘术后肛门形态及肛门功能的影响。
목적：관찰정향긴선술재고위항루림상치료중적응용개치。방법대2010년4월-2011년1월재본원적고위항루환자30례진행분석。수궤분위관찰조（정향긴선술）화대조조（전통절개괘선긴선술）。술후수방3개월，관찰량조재치료효과、전유시간、술후복발솔급항문괄약공능등적차이。결과발현관찰조여대조조재치료효과、전유시간、복발솔등방면무현저차이（P ＞0．05）。관찰조재수술후3월적항문쇄공식기형발생솔、항문실금평분（Wexner 평분）급항문과지평분명현저우대조조（P ＜0．05）。결론정향긴선술가이유효지감경괘선요법대우고위항루술후항문형태급항문공능적영향。
Objective To explore influence of oriented frapping thread on the treatment of anal function after surgery in patients with high anal fistula.Methods 30 patients with high anal fistula were randomly divided into the observation group (oriented frapping thread)and the control group (traditional incision-thread-drawing procedure).Therapeutic effect,recovery time,postoper-ative recurrence rate and anal sphincter function were observed between the two groups during the 3 months follow-up period.Results There were no significant differences of therapeutic effect,re-covery time and recurrence rate between the two groups (P >0.05).The incidence rate of anal keyhole deformity,anal incontinence score (Wexner score)and anal finger wrapped score in the ob-servation group were significantly lower than those of the control group (P <0.05).Conclusion Oriented frapping thread technique can effectively reduce the influence of thread-drawing therapy on anal morphology and function after the surgery in patients with high anal fistula.