CAJ | 학술논문

目的：探讨在复杂性肛瘘中的应用分段开窗旷置对口引流的疗效。方法100例复杂性肛瘘患者随机分为两组，观察组50例，对照组50例，观察组采用分段开窗旷置对口引流治疗，对照组采用低切高挂术治疗。观察术后疗效，肛门失禁和肛门移位的评分，复发情况。结果对照组治疗后总有效率为82%，观察组治疗后总有效率为98%，观察组总有效率明显高于对照组（P＜0.05）。术后观察组的肛门失禁和肛门移位的评分均明显低于对照组（均P＜0.01）。术后平均随访1年，对照组复发5例，复发率为12.2%（5/41）；观察组复发率为0%；观察组复发率明显少于对照组（P＜0.01）。结论分段开窗旷置对口引流治疗复杂性肛瘘疗效显著，并发症少，复发率低。
목적：탐토재복잡성항루중적응용분단개창광치대구인류적료효。방법100례복잡성항루환자수궤분위량조，관찰조50례，대조조50례，관찰조채용분단개창광치대구인류치료，대조조채용저절고괘술치료。관찰술후료효，항문실금화항문이위적평분，복발정황。결과대조조치료후총유효솔위82%，관찰조치료후총유효솔위98%，관찰조총유효솔명현고우대조조（P＜0.05）。술후관찰조적항문실금화항문이위적평분균명현저우대조조（균P＜0.01）。술후평균수방1년，대조조복발5례，복발솔위12.2%（5/41）；관찰조복발솔위0%；관찰조복발솔명현소우대조조（P＜0.01）。결론분단개창광치대구인류치료복잡성항루료효현저，병발증소，복발솔저。
Objective To study the effectiveness of break window exclusion counterparts drainage in complex anal fistula.Methods 100 patients with complex anal fistula were randomly divided into two groups, the observation group(n=50) who were operated through break window exclusion counterparts drainage, and the control group(n=50) who were operated through low-cut hanging surgery. Postoperative effect, shift and anal incontinence score, relapse were obervated.Results After treatment, the control group total effective rate was 82% and 98% in the observation group,the total efficiency of the observation group was significantly higher(P<0.05). Shift and anal incontinence score in the observation group were lower than these in the control group(P<0.01). After a mean folow-up of 1 year, 5 cases of recurrence in the control group, the recurrence rate was 12.2%(5/41); recurrence rate was 0% in the observation group.Relapse rate in the observation group was significantly less than the control group(P<0.01).Conclusions Break Window exclusion counterparts fistula drainage had better efficacy significantly fewer complications, and lower recurrence rate.