摘要回顾性分析我科2016年1月至2017年5月行肛瘘切除术的62例低位肛瘘患者(肛瘘切除组)、自动套扎术(RPH)的82例混合痔患者(痔RPH组)、肛瘘切除联合RPH治疗38例低位肛瘘合并混合痔患者(切除联合RPH组)的临床资料.肛瘘切除组与切除联合RPH组、痔RPH组与切除联合RPH组术后第1、3天疼痛发生率差异均无统计学意义(均P＞0.05).术后第1天,肛瘘切除组与切除联合RPH组的术后排尿障碍为8％与32％,差异有统计学意义(P＜0.05),但痔RPH组与切除联合RPH组(11％与32％)差异无统计学意义(P＞0.05);肛瘘切除组与切除联合RPH组(0与8％)、痔RPH组与切除联合RPH组(2％与8％)术后导尿差异均无统计学意义(均P＞0.05);肛瘘切除组与切除联合RPH组术后瘢痕面积及肛门功能比较差异有统计学意义(P＜0.05).3组术后均无出血、感染及直肠狭窄.

abstractsSixty two patients with low anal fistula were treated by anal fistulectomy (fistula group) and 82 patients with mixed hemorrhoids were treated by automatic ligation of hemorrhoids (RPH group) and 38 patients with anal fistula plus mixed hemorrhoids were treated by the RPH and anal fistulectomy (fistula plus RPH group),the clinical data of patients were retrospectively analyzed.The complication rate,the degree of pain and,the urination disorders,the postoperative recurrent rate,scar area and the anal functions were observed and compared.There were no differences in pain degree at d1 and d3 among three groups(P ＞ 0.05).There was significant difference in urination disorders between the fistula group and anal fistula plus RPH group (8％ vs.32％,P ＜ 0.05),but no differences between the RPH group and anal fistula plus RPH group (11％ vs.32％,P ＞ 0.05).There were significant differences in scar area and the anal functions between anal fistula group and anal fistula plus RPH group(P ＜ 0.05).There were no postoperative massive hemorrhage,proctenclisis and infection in all three groups.