CAJ | 학술논문

目的：对比分析传统切开挂线术与切开旷置术联合垫压法治疗高位复杂肛瘘的效果。方法选取该院收治的高位复杂肛瘘患者90例，将其随机平均分为研究组与对照组。对照组采取传统切开挂线术治疗，研究组采取切开旷置术联合垫压法治疗。结果研究组术后当天、术后7 d时发热、渗出、疼痛的评分显著低于对照组(P<0.05)；两组均未见肛门狭窄及不全性肛门失禁出现；两组复发率对比差异无统计学意义(P>0.05)。结论相较于传统切开挂线术，切开旷置术联合垫压法可以有效改善高位复杂肛瘘患者术后发热、渗出等情况，降低疼痛阈值，减轻患者的痛苦，适于临床应用与推广。
목적：대비분석전통절개괘선술여절개광치술연합점압법치료고위복잡항루적효과。방법선취해원수치적고위복잡항루환자90례，장기수궤평균분위연구조여대조조。대조조채취전통절개괘선술치료，연구조채취절개광치술연합점압법치료。결과연구조술후당천、술후7 d시발열、삼출、동통적평분현저저우대조조(P<0.05)；량조균미견항문협착급불전성항문실금출현；량조복발솔대비차이무통계학의의(P>0.05)。결론상교우전통절개괘선술，절개광치술연합점압법가이유효개선고위복잡항루환자술후발열、삼출등정황，강저동통역치，감경환자적통고，괄우림상응용여추엄。
Objective To compare the traditional incision and thread and cut exclusion operation combined pad-pressure high complex anal fistula treatment effect. Methods I received high complex anal fistula hospital 90 patients were randomly divided in-to study group and the control group. The control group received traditional incision line treatment, the study group to take joint surgery incision exclusion pad-pressure treatment. Results The study group was the day after surgery 7d fever, oozing, pain scores were significantly lower than the control group (P<0.05);the two groups showed no anal stenosis and insufficiency of incontinence occurs;relapse rate comparison groups no significant difference (P>0.05). Conclusion The traditional incision and thread, cut the exclusion operation combined pad pressure method can effectively improve the postoperative fever complex high anal fistula, exu-dation, etc., reduce the pain threshold, compared to alleviate the suffering of patients, suitable for clinical application and promotion.