陕西中医2017，Vol.38Issue(4)：494-496,3.DOI:10.3969/j.issn.1000-7369.2017.04.041
拖线置管垫棉综合疗法治疗复杂性肛瘘临床研究
The clinical study of suture dragging and catheter drainage following pad pressure therapy in the treatment of complex anal fistula
摘要
Abstract
Objective:To evaluate the clinical efficacy and safety of the patients with complex anal fistula treated by suture dragging and catheter drainage following pad pressure therapy.Methods:150 patients were randomized into two groups, 44 patients in the treatment group were low complex fistula and 31 patients were high complex fistula, who were treated by suture dragging and catheter drainage following pad pressure therapy.46 patients in the control group were low complex fistula and treated by fistulotomy, 29 patients were high complex fistula and treated by incision-thread-drawing procedure.The primary outcomes were the healing time and healing rate, other outcomes including the anorectalmanometric results, Wexner score and recurrence rate in follow-up 6 months.Results:The healing time in the treatment group was shorter than that in the control group.The resting pressure of the treatment group was significantly higher than that of the control group at 3 months after healing(P<0.05).The postoperation results in the control group had a statistical decrease with the preoperation ones as well(P<0.05).The postoperation Wexner score in the treatment group was also better than that in the control group(P<0.05).No staistical differences were found on the recurrence rate follow-up 6 months and healing rate between the groups(P>0.05).Conclusion:The suture dragging and catheter drainage following pad pressure therapy has more advantages on the aspects of healing time and protection of anal and rectal function.关键词
肛肠疾病/瘘/肛管直肠测压Key words
Proctorectal Diseases/Fistula/Anorectal Manometry分类
医药卫生引用本文复制引用
陶晓春,林晖,徐伟祥,潘友珍,钟盛兰,曹永清..拖线置管垫棉综合疗法治疗复杂性肛瘘临床研究[J].陕西中医,2017,38(4):494-496,3.基金项目
上海市科学技术委员会科研计划项目(13401903001)上海市浦东新区卫生局卫生、计生科技项目(PW2013D-10) （13401903001）
