Ligasure^(TM)血管闭合系统治疗高位复杂性肛门直肠瘘的效果  

Treatment of high complex anorectal fistula with Ligasure^(TM) Vessel Sealing System

作　　者：王志伟[1] 吴印爱[1] 刘献棠[1] 聂晨阳[1] 龙连生 吴胜伟[1] 庄雄标 易娜[1] 吴秋兰[1] 

机构地区：[1]广州军区广州总医院附属157医院肛肠外科中心,广东广州510510

出　　处：《临床军医杂志》2014年第8期796-797,826,共3页Clinical Journal of Medical Officers

摘　　要：目的总结LigasureTM血管闭合系统处理高位复杂性肛门直肠瘘的效果。方法采用一期切除瘘管法治疗高位复杂性直肠肛门瘘116例,其中采用LigasureTM血管闭合系统治疗52例(闭合系统组);采用电刀治疗64例(电刀组)。对两组患者术中出血发生率、术后出血率、手术操作时间、住院时间、伤口愈合时间、术后大便失禁率等指标进行分析比较。结果LigasureTM血管闭合系统治疗组术中出血发生率、术后出血率、手术操作时间均显著低于电刀治疗组(P<0.05),而两组住院时间、伤口愈合时间、术后大便失禁率无统计学差异(P>0.05)。结论应用LigasureTM血管闭合系统治疗高位复杂性肛门直肠瘘,可降低术中、术后出血发生率,减少手术操作时间,有效提高手术的速度与安全性。Objective To determine the effects of LigasureTM Vessel Sealing System on high complex annorectal fistula. Methods One-stage Fistulectomy was carried out in 116 patients with high complex annorectal fistula. The operation was performed with Li- TM gasure Vessel Sealing System in 52 cases, and with electroscalpel in 64 cases. The indexes, such as rates of intraoperative hemor- rhage and postoperative hemorrhage, operation time, hospitalization time, wound healing time and rate of postoperative fecal inconti- nence, were compared between the two groups. Results Rates of intraoperative hemorrhage and postoperative hemorrhage and op- eration time were obviously lower in LigasureTM Vessel Sealing System group than in electroscalpel group （ P 〈 0.05 ）. There were no differences in hospitalization time, wound healing time and rate of postoperative fecal incontinence between the two groups （ P 〉 0.05 ）. Conclusion In treatment of high complex annorectal fistula with LigasureTM Vessel Sealing System, such indexes as rates of intraoperative hemorrhage and postoperative hemorrhage and operation time can be decreased. As a result, operation speed and safety may be improved.

关 键 词：LIGASURE TM血管闭合系统 一期 瘘管切除 肛门直肠瘘 

分 类 号：R657.1[医药卫生—外科学]