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“分段切开,多重挂线术”治疗高位复杂性肛瘘临床研究 被引量:11

Clinical study of subsectional dissection and multiple seton operation in the treatment of high complex anal fistula
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摘要 目的:观察"分段切开,多重挂线术"治疗高位复杂性肛瘘的临床疗效。方法:将60例高位复杂性肛瘘随机分为治疗组40例,采用"分段切开,多重挂线术";对照组20例,采用传统切开挂线术进行对比观察。结果:显示治疗组与对照组显愈率分别为95%和90%,无明显差异(P>0.05),但两组间的术后疼痛程度、创口愈合时间、肛门功能情况存在显著差异(P<0.05)。结论:在治疗高位复杂性肛瘘时,"分段切开,多重挂线术"与传统切开挂线术相比,具有手术操作简单,对组织损伤小,痛苦小、疗程短、肛门功能保护好等优点,该术式的应用,使得高位复杂性肛瘘治疗更加安全、有效。 Objective:To observe the clinical effect of subsectional dissection and multiple secton operation on high complex anal fistula. Methods: Sixty cases of high complex anal fistula were randomly divided into two groups. Forty cases in the treatment group were treated with subsectional dissection and multiple see- ton operation. The other 20 cases in control group were treated with conventional incision and thread-- drawing technique. Results: The cure rate of the treatment group and the control group was 95% and 90% respectively. In this aspect, the difference showed no statistical significance ( P〉0.05). There was significant difference in postoperative pain, healing time and anal function between the two groups (P 〈0. 05). Conclusion: The subsectional dissection and multiple secton operation is an effective and safe procedure for high complex anal fistul.
出处 《结直肠肛门外科》 2007年第5期294-297,共4页 Journal of Colorectal & Anal Surgery
关键词 高位复杂性肛瘘 分段切开 多重挂线 临床研究 High Complex Anal Fistula Subsectional Dissection Multiple seton
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参考文献3

  • 1国家中医药管理局.中华人民共和国中医药行业标准.中医肛肠科病证诊断疗效标准.南京大学出版社,1995.1.
  • 2Sungurtekin U,Sungurtekin H,Kabay B,e tal.(2005)"Anocutaneous V-Y Advance-ment Flap for the Treatment of Complex Perianal Fistula".Dis Colon Rectum,48:2178-2183.
  • 3安阿玥.肛肠病学[M].北京:人民卫生出版社,1996.204-210.

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