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置管引流术治疗高位肛瘘21例临床分析及若干问题探索 被引量:21

Clinical Analysis and Exploration on Treating 21 Cases of High Anal Fistula by Catheter Drainage Therapy
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摘要 目的:采用置管引流术治疗"非腺源性"高位肛瘘,探索其有效性和安全性,寻求微创的术式。方法:通过21例高位肛瘘的手术治疗,观察其疗效、复发情况、肛门形态和功能情况等。结果:20例患者一次治愈,占95.24%;1例经二次扩创后愈合。经手术前后形态对比和肛门直肠压力测定,所有病例肛门形态和功能均良好。结论:"非腺源性"高位肛瘘可采用置管引流术,其操作简便、取材方便、安全有效。 Objective:To explore the efficacy and safety on treating the noncryptoglandular high anal fistula by catheter drainage therapy and search for the minimally invasive operation. Methods: Twenty-one cases of high anal fistula were treated by catheter drainage therapy and the effect,recurrence and the form and function of anus were observed. Results: Twenty cases were cured in primary surgery and the cure rate was 95.24%; one case was healed after reoperation. The form and function of anus of all the cases were satisfied through form contrast and anorectal manometry before and after operation. Conclusion: Catheter drainage therapy is a convenient,effective and safety method on treating "noncryptoglandular" high anal fistula.
出处 《上海中医药大学学报》 CAS 2010年第5期36-38,共3页 Academic Journal of Shanghai University of Traditional Chinese Medicine
基金 国家"十一五"科技支撑计划资助项目(2007BAI20B04) 国家中医药管理局重点学科建设项目 上海市教委创新团队项目
关键词 置管引流 高位肛瘘 非腺源性 Catheter drainage therapy high anal fistula noncryptoglandular
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