Analysis of the Clinical Effect and Recurrence of Fistula Exclusion Com-bined with Incision and Thread-drawing Therapy in the Treatment of Complex Anal Fistula
Objective To analyze the clinical efficacy and recurrence rate of fistula exclusion combined with incision and thread-drawing therapy in the treatment of complex anal fistula.Methods A total of 80 patients with complex anal fistula admitted to Yantai City Municipal Government Hospital from January 2021 to December 2022 were radomly se-lected as the research objects.According to the different surgical schemes,they were divided into control group and observation group,with 40 cases in each group.The control group was treated with simple incision and thread-drawing therapy,and the observation group was combined with fistula exclusion.The therapeutic effect,recurrence rate,treatment index,postoperative pain,sleep and wound exudate of the two groups were evaluated.Results The ef-fective rate of treatment in the observation group was 97.50%(39/40),which was higher than 75.00%(30/40)in the control group,the difference was statistically significant(χ2=8.538,P=0.003).The operation time in the observation group was longer than that of the control group,the postoperative ambulation time,hospitalization time and wound healing time of the observation group were shorter than those of the control group,and the intraoperative blood loss was higher than that of the control group,the differences were statistically significant(all P<0.05).On the 3 day,5 day and 7 day after operation,the pain score and sleep quality score of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).On the 3 day,5 day and 7 day after opera-tion,the wound exudate score in the observation group was lower than that in the control group,and the difference was statistically significant(all P<0.05).Conclusion The application of fistula exclusion combined with incision and thread-drawing therapy in the treatment of complex anal fistula is helpful to reduce the perianal injury caused by sur-gery,improve the therapeutic effect,reduce postoperative pain and sleep,and reduce the recurrence rate of patients.
Fistula exclusionComplex anal fistulaIncision and thread-drawing therapyRecurrence ratePostoperative pain
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