The Order of Evaluation of PPH Combined with Operation of Anal Fistula Resection and Suture Operation

AO Bai-shun; WANG Hai-feng; LIU Wei

doi:10.14033/j.cnki.cfmr.2015.07.006

Abstract：Objective:To study and evaluate the operation sequence of PPH with anal fistula resection and suture operation,to provide the necessary basis for clinical.Method:From Jan 2013 to Jan 2014 in our hospital 100 cases of annular mixed hemorrhoids complicated with low anal fistula patients,under the informed consent of patients,were randomly divided into two groups according to the odd and even number of admission,50 cases in group A received PPH operation again for anal fistula resection and suture operation,50 patients in group B with anal fistula resection and suture operation was first PPH operation again,statistical comparison of operation time,two groups of patients with postoperative complications and postoperative pain degree.Result:The operation time of group A was (20.6±4.5)min,was significantly lower than (24.1±7.2)min of group B,there was significant difference(P<0.05).In the group A,1 case of anastomotic bleeding,1 case of anal fistula anastomotic bleeding,1 case of anal fistula sewing suture bleeding and infection,the complication rate was 6.0%.In the group B,1 case of anastomotic bleeding,9 cases of anal fistula anastomotic bleeding, 8 cases of anal fistula bleeding in suture,2 cases of infection of postoperative recurrence of anal fistula,the complication rate was 40.0%,group A was lower than of the group B,there was significant difference(P<0.05).VAS score of the group A was (3.8±1.1),was significantly lower than (6.2±1.2) of group B,the time of pain of group A was (35.6±6.9)h,was shorter than (46.7±10.4)h of group B,the differences were statistically significant(P<0.05). Conclusion:Annular mixed hemorrhoids complicated with low anal fistula patients in the operation treatment of order selection,recommendations to PPH operation in the treatment of anal fistula resection and suture operation,can effectively reduce the operation time and the incidence of complications,the degree of pain and the duration of pain control of patients after surgery,is worthy of clinical popularization and application.