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保留括约肌挂线术治疗高位复杂性肛瘘的临床观察 被引量:5

Preserved Sphincter Thread-drawing Procedure for High Complex Anal Fistula:Clinical Observation
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摘要 为观察保留括约肌挂线术治疗高位复杂性肛瘘的疗效,将80例高位复杂性肛瘘患者随机分为治疗组和对照组,每组40例。治疗组采用保留括约肌挂线术治疗,对照组采用传统切开挂线术治疗,比较2组治愈率、术后疼痛、创面愈合时间及术后肛门功能等情况。结果显示,2组治愈率差异无统计学意义(P〉0.05)。但在术后疼痛、创面愈合时间、术后肛门功能评分方面治疗组优于对照组(P〈0.05)。结果表明,保留括约肌挂线术治疗高位复杂性肛瘘具有手术创伤小、痛苦小、恢复快,能有效保护肛门功能等优点,是较实用的手术方式。 This study was to observe the effect of high complex anal fistula with the procedure of preserved sphincter thread-drawing, randomly divided 80 cases of this fistula into treatment group and control one, 40 cases for each;gave above procedure to the former, while gave routine incision thread-drawing procedure to the latter;then compared both group's curative rate, wound-surface healing time and postoperative pain function of anus,and so on.As restults,there was no statistical difference beween two groups in the curative rate( P〉0.05),but in postoperative pain & the healing time of wound-surface,in postoperative score on function of anus the former was superior to the latter ( P 〈0.05).Results show that above-mentioned procedure of preserved sphincter thread-drawing for high complex anal fistula has such merits as mini-trauma from the operation, light pain, fast recovery, and effective protection of anal function etc, thus it is a more practical procedure.
出处 《中国肛肠病杂志》 2016年第7期36-38,共3页 Chinese Journal of Coloproctology
关键词 高位复杂性肛瘘 保留括约肌挂线术 临床观察 High complex anal fistula Preserved-sphincter thread-drawing procedure Clinical observation
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  • 1Bretagnol F, Rullier E, Laurent C,et al. Comparison of functional results and quality of life between inter- sphincteric resection and conventional coloanal anasto- mosis for low rectal cancer[J].Dis Colon Rectum,2004, 47 (6) : 832-838.
  • 2郑雪平.丁义江教授治疗高位复杂性肛瘘的经验[J].江苏中医药,2009,41(6):13-14. 被引量:23

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