一期根治术治疗复杂性肛瘘150例疗效观察  

Primary Radical Procedure in the Treatment of Complex Anal fistula of 150 Cases

作　　者：李建彪[1] 

机构地区：[1]天津市东丽区中医医院,天津300300

出　　处：《中国肛肠病杂志》2011年第11期31-32,共2页Chinese Journal of Coloproctology

摘　　要：为探讨一期根治术治疗复杂性肛瘘的临床疗效，回顾性分析150例复杂性肛瘘患者的临床资料。结果显示，150例一期治愈146例（97．3％），假性愈合4例（2．7％），经二次手术后均治愈，治愈率100％；平均住院时间（18．5±2．3）d；随访3个月至半年，无复发、无肛门失禁及肛门狭窄等并发症和后遗症。结果表明，复杂性肛瘘处理难度大，临床医师需掌握内口及瘘管的处理方法，采用一期根治术并积极做好术后处理，能有效提高治愈率。In order to investigate the therapeutic effect of primary radical procedure for complex anal fistula author analysed the clinical data of 150 cases with complex anal fistula retrospectively. As results,primary curative rate was 97. 3% （146/150）, sham-healing rate was 2. 7% （4/150） ,which the 4 cases were then cured via secondary operation, thus total curative rate was up to 100% ;average hospitalization duration was （18.5±2.3） days;the follow-up of 3-6 months did not find recurrence,anal incontinence and stenosis,etc. Results show that due to more difficult in managing complex anal fistula clinical surgeon must master the management technic for internal opening and fistula tract, meanwhile adopting primary radical procedure and actively better taking.postoperative countermeasures just can enhance curative rate effectively.

关 键 词：肛瘘 手术 疗效观察 

分 类 号：R657.16[医药卫生—外科学]