CAJ | 학술논문

目的：评价拖线置管术治疗高位复杂性肛瘘的有效性及安全性。方法：采用前瞻性、随机、对照的试验设计，以切开挂线术为对照，以愈合天数及内、外括约肌缺损长度为主要疗效指标，以治愈率、复发率、疼痛为次要疗效指标，以 Wexner量表评估结合不良事件为安全性指标。结果：本研究入组76例病例，有效72例，治疗组与对照组各36例。创面愈合时间治疗组短于对照组；内、外括约肌缺损长度治疗组短于对照组；术后第10 d 疼痛治疗组轻于对照组（P ＜0．05）。2组治愈率、复发率，及治疗组、对照组的愈合时、愈合后3月时 Wexner 量表评估与自身术前及组间差异无统计学意义（P ＞0．05）。2组均无与治疗相关的不良事件发生。结论：拖线置管术治疗高位复杂性肛瘘具有治愈时间短，内、外括约肌损伤少，痛苦小的优势。
목적：평개타선치관술치료고위복잡성항루적유효성급안전성。방법：채용전첨성、수궤、대조적시험설계，이절개괘선술위대조，이유합천수급내、외괄약기결손장도위주요료효지표，이치유솔、복발솔、동통위차요료효지표，이 Wexner량표평고결합불량사건위안전성지표。결과：본연구입조76례병례，유효72례，치료조여대조조각36례。창면유합시간치료조단우대조조；내、외괄약기결손장도치료조단우대조조；술후제10 d 동통치료조경우대조조（P ＜0．05）。2조치유솔、복발솔，급치료조、대조조적유합시、유합후3월시 Wexner 량표평고여자신술전급조간차이무통계학의의（P ＞0．05）。2조균무여치료상관적불량사건발생。결론：타선치관술치료고위복잡성항루구유치유시간단，내、외괄약기손상소，통고소적우세。
Objective:To evaluate the clinical efficacy and safety of treating high complex anal fistulae by suture dragging and catheter drainage.Methods:It was a prospective and randomized controlled trial study.In this study we enrolled 76 cases,and ef-fective in 72 cases finally,36 cases in each group.The patients in the control group were treated by incision and ligation therapy. The primary outcomes were healing time,and the damage of internal and external sphincter,meanwhile healing rate,recurrence rate,postoperative pain served as secondary indexes.The safety index was observed by Wexner scale evaluation and adverse e-vents.Results:The healing time in the treatment group was significant shorter than that of the control group,the treatment group made significant lesser damage of internal sphincter and external sphincter than the control group.The postoperative pain on the 10th day was significant lower than that of the control group (P <0.05).No significant difference were found on healing rate,re-currence rate,and evaluation at each observation point of Wexner scale between the two group (P >0.05).Both groups had no adverse events related to the treatment.Conclusion:The treatment of suture dragging and catheter drainage has advantages such as shorter healing time,lesser damage of sphincter,and lower postoperative pain.