实用临床医药杂志2018，Vol.22Issue(1)：107-110,4.DOI:10.7619/jcmp.201801033
开窗留桥改道术治疗复杂性肛瘘的临床观察
Clinical observation of diversion treatment for complex anal fistula
摘要
Abstract
Objective To study the clinical effect of diversion treatment for complex anal fistula.Methods A total of 60 patients with complex anal fistula were enrolled in this study were divided into control group and experimental group according to the random number table method,with 30 cases per group.All patients were given routinely imaging examination and other related checks,and the intestine tract was cleaned in the morning of the operative day.The control group were treated with low anal fistula resection,while the experimental group with diversion treatment.The efficacy of treatment,postoperative anal function,wound healing time and pain were compared between the two groups.Results The total effective rate in the experimental group was higher than that in the control group (P ＜ 0.05).The Wexner score of the anus function in the experimental group was lower than that in the control group at 1,7,14 and 21 d after the operation,and the differences were statistically significant (P ＜ 0.05).The wound healing time,VAS score on 14thpostoperative day,intraoperative wound area and postoperative scar size were lower in the experimental group than that in the control group (P ＜ 0.05).Conclusion Diversion treatment for complex anal fistula has significant efficacy,faster postoperative wound healing,and it can effectively relieve clinical symptoms and signs,improve anal function,reduce body pain,so it is worthy of clinical promotion.关键词
开窗留桥改道术/复杂性肛瘘/肛门功能Key words
diversion treatment/complex anal fistula/anal function分类
医药卫生引用本文复制引用
徐慧磊,张永安,翟敏,张旗,周峰,巫益珍,陆燕敏..开窗留桥改道术治疗复杂性肛瘘的临床观察[J].实用临床医药杂志,2018,22(1):107-110,4.基金项目
浦东新区名中医继承人培养项目附带课题(PDZYXK-6-2014026) （PDZYXK-6-2014026）
