Clinical Observation of Catheter Drainage Combined with Jiuyidan Perfusion in the Treatment of High Complex Anal Fistula
ZHANG Hui,ZHANG Sheng,MIN Li
Department of Anorectal Surgery, Jiading Hospital of Traditional Chinese Medicine, Shanghai 201899, China
Abstract:
Objective To observe the clinical effect of catheter drainage combined with Jiuyidan perfusion in the treatment of high complex anal fistula. Methods A total of 100 patients diagnosed with high complex anal fistula were randomly divided into two groups: treatment group (50 cases) and control group (50 cases). The treatment group was treated with catheter drainage combined with Jiuyidan perfusion, while the control group was treated with low incision and high thread drawing. Statistical analysis of general data, cure time, treatment rate, recurrence rate and anal function protection of the two groups were observed. Results 2 cases were not cured in the treatment group and 1 case in the control group. No recurrence cases were found in the two groups during the follow-up. There was no statistical difference between the two groups in terms of cure rate and recurrence rate (P>0.05). The wound healing time of the treatment group (33.4±4.8) days was significantly shorter than that of the control group (36.5±5.0) days, with a significant difference (P<0.01). At the time of wound healing and follow-up of 6 months, the resting pressure and the maximum systolic pressure of anal canal in the two groups were significantly different (P<0.01, P<0.01). The anal sphincter function in the treatment group was less damaged. Conclusion The procedure of catheterization and drainage combined with Jiuyidan perfusion in the treatment of high complicated anal fistula can shorten the treatment time, and the anal sphincter function is better protected.
