中国中西医结合杂志2017，Vol.37Issue(5)：547-551,5.DOI:10.7661/j.cjim.20170315.052
双向等压引流根治术治疗高位单纯性肛瘘的临床研究
Clinical Research of Bidirectional Isobaric Drainage Radical Resection in the Treatment of High Simple Anal Fistula
摘要
Abstract
Objective To observe the clinical effect of bidirectional isobaric drainage radical resection for the treatment of high simple anal fistula.Methods A total of 120 patients with high simple anal fistula were randomly assigned to the treatment group and the control group by a random number table,with 60 cases in each group.Patients in the treatment group were treated with bidirectional isobaric drainage radical resection,while patients in the control group were treated with high seton and low ectomy surgery.The following items were observed to compare the treatment effects between groups,including 24-h postoperative uroschesis grade,24-h and 7-day postoperative pain,wound healing time,cure rate,the Wexner Incontinence Score and the 36-Item Short From Health Survey (SF-36) score after wound healing.All patients were followed up for 6 months to observe the recurrence rate.Results There was no significant difference in cure rate and 6-month recurrence rate between the two groups (P ＞0.05).Compared with the control group,24-h postoperative uroschesis grade,24-h and 7-day postoperative pain were all decreased,and the wound healing time was shortened in the treatment group (all P ＜0.01).The Wexner Incontinence Scores were decreased and the SF-36 scores were improved in the treatment group (both P ＜0.01).Conclusion Compared with the conventional high seton and low ectomy surgery,bidirectional isobaric drainage radical resection for high simple anal fistula was superior for relieving patients' local pain,decreasing uroschesis,shortening healing time,protecting anal function and improving the quality of life.关键词
高位单纯性肛瘘/双向等压引流根治术/高位挂线低位切开术Key words
high simple anal fistula/bidirectional isobaric drainage radical resection/high seton and low ectomy surgery引用本文复制引用
李佳楠,李昕,来丽霞,马凰富,王晏美..双向等压引流根治术治疗高位单纯性肛瘘的临床研究[J].中国中西医结合杂志,2017,37(5):547-551,5.基金项目
中日友好医院院级课题基金资助项目(No.2014-2-MS-11) （No.2014-2-MS-11）
