内镜下潜行切除闭锁式引流术治疗高位复杂性肛瘘临床研究  

Clinical Research of Therapy For High Complex Anal Fistula By Sneak Removal under Endoscopic and Closed Drainage

作　　者：王慧敏[1] 王业皇[2] 郑雪平[2] 

机构地区：[1]南京中医药大学,江苏南京210029 [2]南京市中医院全国肛肠医疗中心,江苏南京210001

出　　处：《辽宁中医药大学学报》2012年第9期54-56,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：南京市科委重点项目课题(201104006);江苏省中医药管理局资助项目(LZ11104)

摘　　要：目的:观察内镜下潜行切除闭锁式引流术治疗高位复杂性肛瘘的临床效果。方法:将南京中医药大学附属南京市中医院全国肛肠医疗中心2010年9月—2011年9月收治入院的46例高位复杂性肛瘘患者随机分为两组,治疗组(23例)采用内镜下潜行切除闭锁式引流术进行治疗,对照组(23例)采用传统切开挂线术治疗。结果:46例患者全部治愈,经统计学处理,两组患者在创面愈合时间、术后疼痛指数、肛管压力测定等方面差异均有统计学意义。结论:内镜下潜行切除闭锁式引流术治疗高位复杂性肛瘘,具有微创、痛苦小、疗程短、最大限度维护肛门功能等优势。Objective：Observe the clinical effect of therapy for high complex anal fistula by sneak removal under endoscopic and closed drainage.Methods：In National Center of Colorectal Surgery,Nanjing Hospital of TCM,46 patients with high-type anal fistula as required were chosen and assigned into treatment group and control group,both of which had 23 patients.Treatment group was treated with sneak removal and closed drainage under endoscope;control group was treated with incision and drainage surgery.Results：46 patients were all cured,there was significant difference between two groups in wound healing time,pain scores,determination of the anal canal pressure,etc.Conclusion：Sneak removal under endoscope with closed drainage is effective on treating high-type anal fistula,and it is better as it＇s minimally invasive,with less pain and fast recovery,and can retain the anal function as far as possible.

关 键 词：高位复杂性肛瘘 内镜下潜行切除 负压封闭引流(VSD)技术 

分 类 号：R657.16[医药卫生—外科学]