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投稿时间：2024-11-04 网络发布日期：2025-09-19
投稿时间：2024-11-04 网络发布日期：2025-09-19
中文摘要: 目的 观察集单向、定量切割及自锁为一体的新型硅胶线在治疗高位肛瘘中的临床疗效。方法 前瞻性选取2022年1月至2024年3月南京中医药大学附属南京中医院肛肠中心诊断符合高位肛瘘诊断且入院手术的120例患者作为研究对象，并按随机原则分为两组。试验组采用集单向、定量切割及自锁为一体的新型硅胶线挂线（n=60），对照组采用传统橡皮筋挂线（n=60）。术后随访6个月，比较两组术后及紧线后的疼痛情况、术后的肛门功能情况。结果 紧线术后第1天、紧线术后第3天试验组视觉模拟评分低于对照组，差异有统计学差异（P＜0.05）。两组肛门功能主观症状、指诊积分及Wexner评分差异无统计学意义（ P> 0.05）。术后6个月两组肛管静息压、收缩压均较术前降低，且术后两组间比较差异有统计学意义（P＜0.05）。两组脱线时间、愈合时间比较差异无统计学意义（ P> 0.05）。术后试验组和对照组复发率差异无统计学意义（3.3%vs5.0%，χ2=0，P= 1.000）。结论 集单向、定量切割及自锁为一体的新型硅胶线挂线与传统橡皮筋挂线相比，对肛门功能有一定的保护作用，可减轻患者紧线后带来的疼痛，简化紧线操作。
Abstract:Objective To observe the clinical efficacy of the new silicone wire integrating unidirectional, quantitative cutting and self-locking in the treatment of high anal fistula. Methods A total of 120 patients diagnosed with high anal fistula and admitted for surgery at the Department of Proctology of Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from January 2022 to March 2024 were prospectively selected as the research subjects. The patients were divided into experimental group (n=60, thread-drawing therapy with the new silicone wire integrating unidirectional, quantitative cutting and self-locking) and control group (n=60, thread-drawing therapy with traditional rubber band) randomly. All the patients were followed up for 6 months after surgery, and the pain and anal function between the two groups after surgery and tightening were compared. Results The Visual Analogue Score of the experimental group was lower than that of the control group on the 1st day and 3rd day after wire tightening, with statistically significant differences (P＜0.05). There was no statistically significant difference in subjective symptoms, finger diagnosis scores, and Wexner scores of anal function between the two groups (P＜0.05). Six months after surgery, both groups showed a decrease in resting and systolic anal pressure compared to preoperative levels, and the difference between the two groups was statistically significant (P＜0.05). There was no statistically significant difference in the time of detachment and healing between the two groups ( P> 0.05). There was no statistically significant difference in recurrence rate between the experimental group and the control group after surgery (3.3% vs 5.0%, χ2=0, P= 1.000). Conclusion The new silicone wire hanging thread integrating unidirectional, quantitative cutting and self - locking has a certain protective effect on anal function compared with the traditional rubber band hanging thread, which can reduce the pain of the patients after tightening the thread and simplify the operation of tightening the thread.
文章编号： 中图分类号：R657.1+6 文献标志码：A
基金项目:江苏省中医药科技发展计划项目（MS2021034）；第二批江苏省名老中医药专家传承工作室建设项目；全国名老中医药专家传承工作建设项目；吴崑岚名中医工作室（2023-NJSMZYGZS-WKL）
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引用文本：
吴燕兰,王业皇,吴崑岚,等.集单向定量切割及自锁为一体的新型硅胶线在高位肛瘘中的应用[J].中国临床研究,2025,38(9):1373-1377.
吴燕兰,王业皇,吴崑岚,等.集单向定量切割及自锁为一体的新型硅胶线在高位肛瘘中的应用[J].中国临床研究,2025,38(9):1373-1377.