世界中医药Issue(9)：1347-1350,4.DOI:10.3969/j.issn.1673-7202.2015.09.014
拖线置管术治疗高位复杂性肛瘘临床研究
Clinical Study of Traditional Chinese Surgical Treatment “Suture Dragging and Catheter Drainage”in Treating High Complex Anal Fistulae
摘要
Abstract
Objective:To evaluate the clinical efficacy and safety of treating high complex anal fistulae by suture dragging and catheter drainage.Methods:It was a prospective and randomized controlled trial study.In this study we enrolled 76 cases,and ef-fective in 72 cases finally,36 cases in each group.The patients in the control group were treated by incision and ligation therapy. The primary outcomes were healing time,and the damage of internal and external sphincter,meanwhile healing rate,recurrence rate,postoperative pain served as secondary indexes.The safety index was observed by Wexner scale evaluation and adverse e-vents.Results:The healing time in the treatment group was significant shorter than that of the control group,the treatment group made significant lesser damage of internal sphincter and external sphincter than the control group.The postoperative pain on the 10th day was significant lower than that of the control group (P <0.05).No significant difference were found on healing rate,re-currence rate,and evaluation at each observation point of Wexner scale between the two group (P >0.05).Both groups had no adverse events related to the treatment.Conclusion:The treatment of suture dragging and catheter drainage has advantages such as shorter healing time,lesser damage of sphincter,and lower postoperative pain.关键词
拖线置管术/高位复杂性肛瘘/临床研究Key words
Suture dragging and catheter drainage/High complex anal fistula/Clinical study分类
医药卫生引用本文复制引用
梁宏涛,姚一博,沈晓,陶晓春,曹永清,陆金根..拖线置管术治疗高位复杂性肛瘘临床研究[J].世界中医药,2015,(9):1347-1350,4.基金项目
上海市卫生和计划生育委员会青年科研项目“拖线置管术治疗高位复杂性肛瘘临床研究”（编号20134Y054）；上海市科委科研计划项目“拖线置管垫棉综合疗法治疗复杂性肛瘘的多中心临床研究”（编号13401903001）；海派中医流派传承研究基地-顾氏外科流派传承工作（编号ZYSNXD-CC-APGC-JD002），国家中医药管理局重点学科-肛肠学科资助（编号561）；上海市杏林新星计划 （）
