[摘要] 目的 研究复杂肛瘘手术中球状空心探针的运用效果。方法 该研究方便选择的对象为2016年8月—2017年8月来该院行肛瘘切开挂线术的患者有88例，将他们分为两组（A组与B组），对于A组的44例患者运用球状空心探针来探查其瘘管与内口，对于B组的44例患者则运用硬质实心探针加以探查，对比两组患者的手术操作时间、探查准确率、切口愈合时间等情况。 结果 对比两组患者的一次手术治愈情况，A组治愈与有效例数均多于B组，A组治愈率为100.00%，B组为86.36%，差异有统计学意义（P<0.05）。结论 球状空心探针运用于复杂肛瘘手术中能够帮助医师提升瘘管以及内口探查的准确度，具有临床推广价值。

[关键词] 复杂肛瘘手术；球状空心探针；硬质实心探针；效果分析

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0020-03

Analysis on Effect of Applying Spherical Hollow Probe in Complex Anal Fistula Operation

WU Lei

Department of Gastrointestinal Surgery， Heze Municipal Hospital， Heze， Shandong Province， 274000 China

[Abstract] Objective This paper tries to research the application effect of globular hollow probe for complex anal fistula operation. Methods 88 patients treated with incision-thread-drawing procedure in the hospital from August 2016 to August 2017 were convenient selected and divided into two groups： group A and group B. Group A for 44 cases was treated with globular hollow probe to probe fistula and internal opening. And group B for 44 cases was treated with hard solid probe. The operation time， probe accuracy and healing time of incision of two groups was compared. Results For the healing time of one-time operation of two groups， the number of the effective and curative cases of group A was more than that of group B. The curative rate of group A was 100.00% and that of group B was 86.36%， the difference was evident， which had statistical significance（P<0.05）. Conclusion Applying globular hollow probe for complex anal fistula operation can help the doctors to improve the accuracy of probing fistula and internal opening.

[Key words] Complex anal fistula operation； Globular hollow probe； Hard solid probe； Effect analysis

在臨床肛肠疾病中，肛瘘是其中最为常见的一类疾病，具有极高的病发率，它是直肠或者肛管与肛周皮肤互通的一类肉芽肿性管道，通常情况下，单纯的肛瘘仅有一个内口与外口，在外口暂时性的封锁时，则会出现局部引流不畅的问题[1]，已经封锁完毕的外口将会在其他处或者再一次穿破而出现另一外口，不断的复制，其病变的具体范围也会不断扩大，最终形成多个内口与外口互通的情形，此类现象也就是通常所讲的复杂性肛瘘。在手术治疗复杂性肛瘘时，由于内口以及瘘管的具体数量不能得以确认，为此，使得手术的难度得以加大，同时手术中也易致使肛管直肠环损伤情况的产生，而正确判断瘘管的走势、内口的具体位置，以及数目是确保手术取得成功的关键因素[2]。球状空……