A Clinical Study Of Anal Repair In The Treatment Of Complex Anal Fistula (damp-heat Injection Syndrome)

Objective: Taking patients diagnosed with anal fistula as the research object,compare plastic surgery of the anus with conventional incision and drainage to observe the clinical effect of plastic surgery of the anus in the surgical treatment of patients with anal fistula.Methods: A randomized and controlled method was used to divide 60 patients who met the inclusion criteria into 30 cases in the treatment group and 30 cases in the control group.Two groups of patients were treated with different surgical procedures.The two groups of patients were scored and recorded for pain,wound exudation,number of complications,and wound scars,and wound scars,and statistics of wound healing time and total curative effect.Results:(1)In terms of wound pain score: within the group,the three time points after the operation of the two groups were statistically significant(P<0.05),And the pain score after surgery is greater than before surgery.The comparison of the pain scores of the two groups of patients at the 3 time points after the operation was statistically significant(P<0.05),and it indicated that the pain of the two groups of patients was relieved over time;Comparison between groups:There was no statistically significant difference in pain scores between the two groups of patients on the first defecation day after surgery(P>.05),There was a statistically significant difference in pain scores on the 3rd day after the operation,the stitch removal day in the experimental group and the control group on the 7th day after the operation(P<0.05).And the line chart indicated that the pain in the experimental group was much lower than that in the control group after the first bowel movement.(2)In terms of wound exudation:Comparison within the group:Comparison of the amount of exudation between the first day after the operation and the third day after the operation between the two groups was P>0.05,the difference was not statistically significant,indicating that the two groups of patients had little difference in the amount of exudation on the first day after the operation and the third day after the operation;The comparison of the amount of exudation on the 3rd day and the 5th day after the operation of the two groups of patients was P<0.01,indicating that the amount of exudation between the two groups of patients on the 3rd day and the 5th day after the operation was quite different;Comparison between groups:The comparison between the experimental group and the control group on the first postoperative day(P>0.05)indicated that there was no statistically significant difference in the amount of exudation between the two groups on the first postoperative day;The comparison between the experimental group and the control group on the 3rd day and the5 th day after the operation(P<0.05)showed that the difference in the amount of exudation between the two groups on the 3rd day after the operation and the 5th day after the operation was statistically significant,and the experimental group The amount of postoperative wound exudation was lower than that of the control group(.3)The Number of complications:The comparison of P>0.05 between the two groups of patients indicated that the difference between the two groups was not statistically significant.(4)Postoperative wound scars:The comparison of P<0.05 between the two groups of patients indicates that the difference between the two groups is statistically significant,and the wound healing of the experimental group is better than that of the control group.(5)In terms of the curative effect:The comparison between the two groups of patients P>0.05 indicates that the difference between the two groups is not statistically significant(.6)There were no obvious adverse reactions in the two groups of patients during the observation period.Conclusion: In the surgical treatment of anal fistula,plastic surgery of the anus can rationally design anal wounds,selectively suture and repair plastic,so as to reduce surgical trauma,reduce postoperative pain,accelerate wound healing,try to maintain anal shape and function intact and achieve satisfactory results.