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目的:探讨手术结合中药外用治疗复杂性肛瘘的临床应用和疗效。方法选取我院在2010年1月~2012年12月收治的复杂性肛瘘患者60例,所有患者均符合中华中医药学会肛肠分会制定的肛瘘诊断标准,将所有患者随机分为观察组和对照组,观察组采用手术结合中药外用的方法治疗,对照组患者仅采用手术方法治疗,对两组的治疗效果进行比较。结果两组疗效的比较,观察组总有效率明显大于对照组,且P<0.05;对两组患者创面完全愈合的时间和疼痛消失时间的比较,观察组均明显小于对照组,且P<0.05。结论联合应用手术和中药外用的方法治疗复杂性肛瘘患者疗效确切,且可快速改善患者的临床症状,缩短患者创面愈合的时间和术后疼痛时间,值得临床推广。“,”Objective: to study the surgery combined with traditional Chinese medicine external treatment the clinical application and curative ef ect of complex anal fistula. Selection methods: our hospital in January 2010 to December 2012 were 60 patients with complexity anal fistula, al patients were diagnosed with anal fistula of anorectal branch of China association of Chinese medicine to develop standard, al of the patients were randomly divided into observation group and the control group and observation group by operation combined with traditional Chinese medicine external treatment, control group patients with surgical treatment, only to compare the ef ect of two groups. Results: the comparison of two groups of curative ef ect of observation group total ef ective rate significantly greater than the control group, and P< 0.05; On two groups of patients with wound healing time and the pain disappeared completely in the comparison, the observation group were significantly less than the control group, P< 0.05. Conclusion: the method of combined use of surgery and traditional Chinese medicine for external use in the treatment of complex anal fistula patients curative ef ect, and can quickly improve clinical symptoms of patients, shorten the wound healing time and postoperative pain in patients with time, worth clinical promotion.