| 范三妹,周文,王天兴,潘烨华,聂寒秋.不同手术方式治疗复杂性肛瘘的疗效及安全性对比[J].中国临床保健杂志,2018,21(6):782-785. |
| 不同手术方式治疗复杂性肛瘘的疗效及安全性对比 |
| Comparison of efficacy and safety of different operative methods in the treatment of complex anal fistula |
| 投稿时间：2018-08-02 |
| DOI：10.3969/J.issn.1672-6790.2018.06.015 |
| 中文关键词: 直肠瘘 结直肠外科手术 预后 |
| 英文关键词: Rectal fistula Colorectal surgery Prognosis 〖FL |
| 基金项目:浙江省台州市医学重点支柱学科(培育)项目[台卫发2016-136-6] |
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| 中文摘要: |
| 目的 研究不同手术方式治疗复杂性肛瘘的效果及安全性,探讨治疗该病的最佳术式。方法 选取84例复杂性肛瘘患者,按照不同手术方式将其纳入传统组(n=42)与改良组(n=42)。传统组应用传统切开挂线术治疗,改良组应用改良经括约肌间瘘管结扎术治疗,对比两组的临床疗效、临床指标(住院时间、创面愈合时间、疼痛程度评分、肛门括约肌功能评分)、并发症发生率以及复发率。结果 改良组的总有效率(97.6%)高于传统组(85.7%)；改良组的住院时间、创口愈合时间、疼痛程度得分少于传统组,且肛门括约肌功能评分高于传统组；改良组的并发症发生率(2.4%)低于传统组(11.9%)；传统组的复发率为16.7%,改良组的复发率为4.8%,改良组低于传统组(P均<0.05)。结论 改良经括约肌间瘘管结扎术治疗复杂性肛瘘的疗效及安全性优于传统切开挂线术治疗,具有疼痛轻微、并发症少、恢复快、复发率低等优势。 |
| 英文摘要: |
| Objective To compare the efficacy and safety of different surgical methods in the treatment of complex anal fistula,and to explore the best surgical method for the treatment of the disease,so as to promote the recovery of patients as soon as possible.Methods A total of 84 patients with complex anal fistula were divided into traditional group(n=42) and modified group(n=42) according to different surgical methods.The traditional group was treated with traditional incision and thread drawing,and the modified group was treated with modified ligation of intersphincter fistula.Clinical indicators (length of stay,wound healing time,pain score,anal sphincter function score),incidence of complications and recurrence rate were compared.Results The total effective rate (97.6%) of the modified group was higher than that of the traditional group (85.7%);the scores of hospitalization time,wound healing time and pain degree of the modified group were less than those of the traditional group,and the anal sphincter function score was higher than that of the traditional group;the incidence of complications(2.4%) of the modified group was lower than that of the traditional group(11.9%);the recurrence rate of the modified group was 4.8%,which was lower than that of the traditional group(6.7%) and the difference was significant (P<0.05).Conclusion Modified transsphincter fistula ligation is superior to traditional incision and thread-drawing in the treatment of complex anal fistula.It has the advantages of mild pain,less complications,rapid recovery and low recurrence rate. |
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