Clinical Study of Therapy on Low Anal Fistulae by Mucosa Advancement Flap Anoplasty and Marsupialization
YANG Jian-hua,WANG Xiao- peng,ZHANG Yi-hui,HE Zong-qi
Traiditional Chinese Medicine, Suzhou (215009), China
Abstract:
Objective To compare the outcomes of mucosa advancement flap anoplasty with marsupialization and open wound in low anal fistulae. Methods The low fistula patients ( 42 cases) were divided into study group and control group (n = 21 ) based on a random number table. The patients in study group were treated with mucosa advancement ?ap anoplasty with marsupialization, and the patients in control group were treated with open wound. The postoperative wound healing time, postoperative pain score, postoperative incidence of anal edmea and bleeding, postoperative scar area and anal function were comparatively studied. Results There were no differences in postoperative incidence of anal function, anal edmea and pain score between the groups (P>0.05). However, the wound healing time of the treatment group was (21.30±1.55) d, which was significantly better than that of the control group [( 28 . 48 ± 2 . 35 ) d], and the difference was statistically significant (P < 0 . 05 ). The postoperative bleeding of the treatment group was less than that of the control group (P<0.05). The postoperative scar area of the treatment group was (34.5±9.62) mm2, and that of the control group was (68.9±10.83) mm2. There were signi?cant differences (P<0.05). Conclusion Mucosa advancement flap anoplasty with marsupialization treatment could not only protect anal function and reduce the postoperative incidence of wound bleeding, but aslo reduce the size of wound and shorten the postoperative wound healing time.
