高位肛瘘微创术式与传统术式对肛门损伤的对比研究  

作　　者：陈怒戈 李忠海 罗家烈 欧耀光 陈素萍 

机构地区：[1]珠海市第二人民医院,广东珠海519000

出　　处：《中外医疗》2012年第21期49-51,共3页China & Foreign Medical Treatment

摘　　要：目的研究高位肛瘘微创术式和传统术式对肛门功能和肛门外形损伤程度的差异。方法采用单盲随机相互对照的研究方法,治疗组施行高位肛瘘微创术式(内口切除低位小切口高位挂线引流,不紧线,保留肛管直肠环),对照组施行传统术式(低位切开高位挂线,内口不切除,紧线,破坏肛管直肠环),术后对两组病人的肛管静息压、肛管最大收缩压、漏气漏液和肛管锁眼畸形等指标进行对比分析。结果两组患者所有指标治疗组均优于对照组。结论高位肛瘘微创术式比传统高位肛瘘治疗术式对肛门功能和肛门外形的损伤小,因此高位肛瘘微创术式在肛门功能和肛门外形的保护方面优于传统术式。Objective To study the difference of effect on function and deformation of the anal sphincter between the minimally invasive surgery and traditional operation. Methods In therapeutic group, high anal fistula minimally invasive surgery （inner end excision and low small incision, high loose thread-drawing drainage, anoreetum ring preserved） was used. In control group. Tradi- tional low incision and high thread-drawing drainage method of operation was used, and chronic incisions after operation. Anal resting pressure, anal maximal systolic pressure, leakage of gas and liquid, ley-hole deformation were observed in the two groups after operation. Results The therapeutic group had advantages of traditional operation in all parameters. Conclusions Compared with traditional operation, the minimally invasive surgery of high anal fistula has less effect on function and deformation of the anal sphincter, so it is a better operative method in the aspect of protection of function and deformation of the anal sphincter.

关 键 词：高位肛瘘 微创 手术治疗 

分 类 号：R4[医药卫生—临床医学]