Fistulision Combined with Xiangpi Shengji Ointment in Treatment of Rectal Submucous Fistula
LI Xin,ZHAO Gang,WANG Ying-ying,CHU Yi
Department of Anorectal, the Af?iated Hospital of Qingdao University, Qingdao (226001), China
Abstract:
Objective To observe the clinical effects of stapled transanal ?stulectomy (STF) combined with Xiangpi Shengji Ointment (XSO) in the treatment of rectal submucous ?stula.Methods Totally 45 patients with this fistula were divided into stapled transanal fistulectomy (STF) group, stapled transanal fistulectomy combined with XSO (STF+ O) group and constrol (CON) group. The patients in STF and STF+O groups were treated with STF, and the patients in STF+O group were treated with XSO from 5 d after operation. The patients in CON group were treated with cutting seton therapy. The operation time, VAS (visual analog score), granulation scores, and time of healing were recorded, the Williams scores were recorded and compared before and after operation. Results The operation time in STF group and STF+O group [(18.02±5.61) min and (16.87±5.93)min] were lower than that in CON group [(23.67±4.81) min] (P<0.05). VAS scores in STF group (7.01±1.91) and STF+O group (7.07±1.98) after operation were lower than that in CON group (8.20±1.66) on day 10 (P<0.05), VAS scores in STF group (4.93±2.74) and STF+O group (3.13±2.62) after operation were lower than that in CON group (6.20±2.48) on day 20 (P<0.05), VAS scores in STF+O group on day 20 after operation was lower than that in STF group (P<0.05). granulation scores in STF group (1.60±0.91) and STF+O group (1.27±0.96) after operation were lower than that in CON group (1.93±1.10) on day 10 (P<0.05), granulation scores in STF group (1.20±0.94) and STF+O group (0.80±0.86) after operation were lower than that in CON group (1.60±1.12) on day 20 (P<0.05), granulation scores in STF+O group on day 10 and 20 after operation were lower than that in STF group (P<0.05).The healing time in STF group [(36.13±10.63) d] and STF+O group [(25.07±6.29) d] were shorter than that in CON group [(47.20±7.62) d] (P<0.05), the healing time in STF+O group was lower than that in STF group (P<0.05).Willams scores in 3 groups after operation at 3 months were significant higher than that before operation, STF group and STF+O group were signi?cantly higher than that in CON group (P<0.05). Conclusion Based on STF for rectal submuscous ?stula, the use of XSO can reduce postoperative pain, shorten the healing time and accerlate recovery.
