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目的:观察切开挂线疗法联合熏洗坐浴对小儿肛瘘的临床疗效。方法:将108例肛瘘患儿随机分为2组各54例,对照组予以切开挂线疗法,治疗组则在对照组基础上加用熏洗坐浴治疗。记录2组患儿临床疗效及不良反应发生情况,观察随访12月的复发率。结果:总有效率治疗组为90.7%,对照组为74.1%,2组比较,差异有统计学意义(P<0.05)。治疗后治疗组患儿疼痛、渗液、瘙痒等并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。随访12月,复发率治疗组为3.7%,对照组为29.6%,2组比较,差异有统计学意义(P<0.05)。结论:切开挂线联合熏洗坐浴治疗小儿肛瘘临床疗效显著,值得推广应用。
Objective: To observe the clinical curative effect of incision line therapy and fumigation bath on pediatric anal fistula. Methods: 108 cases of children with anal fistula were randomly divided into two groups of 54 cases, the control group was cut off the thread therapy, the treatment group was added on the basis of the control group fumigation bath. The clinical efficacy and adverse reactions of two groups were recorded and the recurrence rate in follow-up was observed. Results: The total effective rate was 90.7% in the treatment group and 74.1% in the control group. There was significant difference between the two groups (P <0.05). After treatment, the incidence of pain, exudation and pruritus in the treatment group was significantly lower than that in the control group (P <0.05). Followed up for 12 months, the recurrence rate was 3.7% in the treatment group and 29.6% in the control group. There was significant difference between the two groups (P <0.05). Conclusion: It is worth to popularize the clinical curative effect of incision line and fumigation bath to treat pediatric anal fistula.