隧道成型术治疗蹄铁型肛瘘的临床观察  

Tunnel-Plasty in the Treatment of Horse Shoe-shaped Anal Fistula：Clinical Observation

作　　者：岳滨[1] 胡占岭[1] 

机构地区：[1]沈阳市肛肠医院,辽宁沈阳110003

出　　处：《中国肛肠病杂志》2014年第3期18-19,共2页Chinese Journal of Coloproctology

摘　　要：分别采用隧道成型术与瘘道切开术治疗蹄铁型肛瘘，术后观察其临床效果，评估隧道成型术的优劣。将蹄铁型肛瘘患者86例随机分为两组，治疗组43例采用隧道成型术治疗，对照组43例采用瘘道切开术治疗。观察术后疼痛程度、创面愈合时间及术后肛门相关功能恢复等情况。结果显示，86例肛瘘患者全部治愈，治愈率100％。在术后疼痛程度、创面愈合时间及术后肛门功能评估等方面，治疗组优于对照组（P〈0．05）。结果表明，隧道成型术治疗蹄铁型肛瘘具有术后疼痛轻、愈合快、肛门功能恢复好等优点。This study was to evaluate the outcome following tunnel-plasty for treating horse-shoe shaped anal fistula,and the advantage and shortcome of this procedure. The 86 patients with this fistula were randomly divided into treatment group and control one（43 cases per group）;treatment group received tunnel- plasty, control one received incision of fistula tract;after operation pain degree, wound-healing time and rel- evant function of anus in both groups were observed and compared. As results, all of the 86 patients were all cured （100%）, and after operation treatment group was all superior to control one in pain degree, wound-healing time and relevant function of anus（ P d0.05）. Results show that tunnel-plasty for treating horse-shoe shaped fistula of anus has such advantages as mild postoperative pain, faster healing of wound and better function recovery of anus, etc.

关 键 词：肛瘘 手术 临床观察 

分 类 号：R657.16[医药卫生—外科学]