Simultaneous fistula excision combined with loose thread operation in the treatment of complex anal fistula with perianal abscess
LI Ming-yong1 XIE Peng1 HUANG Cai-mei2 DENG Guo-jun
1. Department of General Surgery, the First People′s Hospital of Nankang, Jiangxi Province, Ganzhou 341400, China;
2. Pelvic Floor Rehabilitation Room, Ganzhou Nankang District Maternal and Child Health Hospital, Jiangxi Province,Ganzhou 341400, China
Abstract：Objective To explore the effect of concurrent fistula external resection combined with loose thread operation in the treatment of complex anal fistula complicated with perianal abscess. Methods A total of 90 patients with complex anal fistulas and perianal abscesses admitted to the First People′s Hospital of Nankang from February 2018 to February 2020 were selected as the research objects, and were divided into a control group (45 cases)and an experimental group (45 cases)according to the odd and even number method.The control group was treated with staging fistula external resection combined with loose thread surgery, while the experimental group was treated with fistula external resection combined with loose thread surgery. The clinical operative indicators, postoperative complications and treatment effects of the two groups were compared. Results The wound healing time, operation time and hospitalization time of the experimental group were shorter than those of the control group, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). There was no statistically significant difference in the clinical total effective rate between the two groups (P>0.05). Conclusion Simultaneous and staged fistula external resection combined with loose thread surgery has better results and higher safety in the treatment of complex anal fistulas with perianal abscesses. However, the concurrent surgical plan takes shorter time, faster postoperative recovery, which can be further promoted and applied in clinical practice.
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