摘要
为观察比较瘘管切除术与括约肌间瘘管结扎术治疗肛瘘的疗效,将90例肛瘘患者分为对照组43例和观察组47例。对照组患者采用瘘管切除术治疗,观察组患者采用经括约肌间瘘管结扎术治疗,比较2组患者的临床疗效、疼痛评分、Wexner评分及肛肠动力指标。结果显示,观察组患者临床治疗总有效率为95.74%,显著高于对照组的76.74%(P<0.05);观察组患者术后12h、24hVAS评分均低于对照组(P<0.05);观察组患者治疗后Wexner评分均低于对照组(P<0.05),肛管最大收缩压、肛管静息压、直肠静息压均高于对照组(P<0.05)。结果表明,经括约肌间瘘管结扎术治疗肛瘘可有效减轻患者的临床症状,疗效显著。
This study was to observe and to compare the effect of anal fistula treated with fistulectomy and with ligation of the intersphincteric fistula tract(LIFT),divided 90 patients with anal fistula into control group(43 cases,adopted fistulectomy)and observation group(47 cases,LIFT);then compaed both groups’effect,pain score,Wexner score,and coloproctological dynamic norms.As results,in total effective rate,in postoperative(at 12,24 hrs after surgery)VAS ratings,in postoperative Wexner score,as well as in anal max.systolic pressure,anal resting pressure,and rectal resting pressure observation group was significantly and respectively higher(95.74%vs 76.74%),lower,lower,as well as higher than control group(all,P<0.05).Results show that LIFT for fistula in ano can effectively reduce clinical symptoms with significant effect.
作者
葛磊
GE Lei(Coloproctological Dept.,Xincai Countys'People's Hospital,Zhumadian,Henan 463500)
出处
《中国肛肠病杂志》
2020年第10期31-33,共3页
Chinese Journal of Coloproctology
关键词
肛瘘
手术
疗效观察
Anal fistula
Surgery
Effect observation
