摘要
目的探讨通过使用Ⅱ型血管造影用鞘组,造影前局麻、扩肛,探针适度扩张瘘管,设置齿线标记,提高肛瘘造影的成功率。方法选取我院2005年1月至2008年10月初次手术患者46例随机分为两组,实验组24例行肛瘘造影的择期肛瘘手术,对照组22例未行肛瘘造影手术。术后通过随访统计并对比两组复发率。结果实验组17例造影成功者手术均获成功,术后无复发,造影失败手术后复发1例,复发率4.17%(1/24),对照组手术后复发6例,复发率27.3%(6/22),实验组造影成功率达70.8%,实验组术后复发率比对照组有显著下降。结论改进后的肛瘘造影方法可以提高肛瘘内口检出成功率,降低术后复发率。
Objective To explore the value on raising the achievement ratio of radiography of anal fistula with radifocus introducer Ⅱ. Methods Forty-six patients with anal fistula from January 2005 to October 2008 were divided randomly into the experimental group （ n=24） and the control group {n=22）. The experimental group received radiography of anal fistula with radifocus introducer Ⅱand selective operation. Radiography of anal fistula was not performed in the control group. Results The achievement ratio of radiography of anal fistula in experimental group was 70.8% （17/27）. Among them, 17 cases with successful radiography were operated successfully, and with no recurrence after operation, while one of 7 cases with abortive radiography was recurred after operation. Recurrence rate after operation was 27.3% （6/22） in the control group. Conclusion Radiography of anal fistula with radifocus introducer Ⅱ can raise the achievement ratio significantly, and the recurrence rate after operation is decreased obviously.
出处
《结直肠肛门外科》
2010年第2期81-82,共2页
Journal of Colorectal & Anal Surgery
基金
2006年入选上海市嘉定区科委课题(编号:2006JKK023)
关键词
肛瘘造影
Ⅱ型血管造影用鞘组
Radiography of anal fistula
Radifocus introducer Ⅱ
