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目的:探讨“铅锤”式自锁硅胶线治疗高位复杂性肛瘘的临床疗效及护理方法。方法:将60例高位复杂性肛瘘患者按入院顺序1:1配对分为两组,每组30例,手术术式均为高位复杂性肛瘘切开挂线术。对照组采用传统橡皮筋挂线法。治疗组采用“铅锤”式自锁硅胶线挂线法。结果:两组患者痊愈、显效率、肛门失禁评分(Wexner评分)及疼痛比较,差异有统计学意义(P<0.05)。结论:定向自锁硅胶线相比于传统橡皮筋挂线法治疗高位复杂性肛瘘,具有对肛门括约功能影响小和减轻术后疼痛的优势。
Objective: To investigate the clinical efficacy and nursing of “lead-hammer” self-locking silicone gel for the treatment of high-level complex anal fistula. Methods: Sixty patients with high complex anal fistula were divided into two groups according to 1: 1 admission order, with 30 cases in each group. Surgical procedures were all performed with high complexity anal fistula incision and hanging technique. The control group using the traditional rubber band hanging line method. Treatment group using “lead hammer ” self-locking silicone line hanging method. Results: There was significant difference between the two groups in recovery, markedly effective rate, anal incontinence score (Wexner score) and pain. (P <0.05). CONCLUSION: Directional self-locking silicone wire has the advantage of reducing anal sphincter function and relieving postoperative pain compared with traditional rubber banding method in treating high-complex anal fistula.