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切开挂线旷置术治疗高位复杂性肛瘘56例疗效观察 被引量:21

The Procedure of Incision,Remaining and Thread-drawing for the Main Fistula and Remain for the Branch Fistula in the Treatment of 56 Cases with High and Complicated Anal Fistula Dingpeilin
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摘要 为了观察主管切开挂线支管旷置术治疗高位复杂性肛瘘的临床疗效,将56例高位复杂性肛瘘患者随机分为2组,治疗组56例采用主管切开挂线支管旷置术,对照组43例采用传统切开挂线术,术后排便后均以中药熏洗换药。结果显示:治疗组有效率96.4%,对照组有效率93.0%(P>0.05)。治疗组患者术后肛门收缩功能明显优于对照组,平均治疗疗程较对照组明显缩短(P<0.05)。结果显示,主管切开挂线支管旷置术治疗高位复杂性肛瘘具有治愈率高、痛苦小、疗程短、损伤小等优点。 Objective:This study was to observe the clinical therapeutic effect of incision and thread-drawing for the main anal fistula and remain for the branch anal fistula in the treatment of high and complicated anal fistula.Methods:56 cases with high anal fistula were randomly divided into two groups.The patients in group 1(56 cases underwent incision and thread-drawing for the main anal fistula and remain for the branch anal fistula,patients in group 2(43 cases) remain incision and thread-drawing only.Fumigatin,washing and dressing change of traditional Chinese drugs were applied after the operations and each defecation.Results:The general effective rate(96.4% VS 93.0%,P0.05) the postoperative anal control function and the average treatment were better in group 1 than in group 2(P0.05).Conclusion:Incision and thread-drawing for the main anal fistula and remain for the branch anal fistula in the treatment of high and complicated anal fistulas of many strong points,including better cure rate,less pain,shorter treatment course,less lesion,no malformation.
出处 《中国伤残医学》 2010年第2期6-8,共3页 Chinese Journal of Trauma and Disability Medicine
关键词 肛瘘 切开挂线 旷置 疗效观察 Anal fistula Incision and thread-drawing Remain
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