符中柱教授经骶尾部入路分段治疗后高位肛瘘经验研究  

Empirical Study on High Anal Fistula after Transsacral Block Treatment by Professor FU Zhongzhu

作　　者：姚嵋方[1] 刘志[1] 李凤云[1] 

机构地区：[1]贵阳中医学院第一附属医院肛肠科,贵州贵阳550001

出　　处：《四川中医》2016年第3期156-158,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：贵州省中医药管理局中医药;民族医药科学技术研究专项课题:全国名中医符中柱教授整体观念在后高位肛瘘手术方法中的经验整理研究

摘　　要：目的:探讨经骶尾部入路分段治疗复杂性肛瘘的临床价值。方法:采用随机对照实验的方法,将60例内口在后方的高位肛瘘随机分成治疗组(30例)和对照组(30例)。观察两组患者的治愈率、后遗症以及术后疼痛指标进行对照比较。结果:两组患者近期治愈率均达到100%,但远期比较中,实验组有1例复发,对照组有2例复发;术后疼痛有显著差异(P<0.05)。结论:两种方法均取得满意的疗效,但治疗组在保护肛门功能、提高患者生活质量方面均优于对照组,故经骶尾部入路分段治疗复杂性肛瘘值得临床推广。Objective： To investigate the clinical value of transsacral block in the treatment of complicated anal fistula.Methods： A randomized controlled trials,60 cases of high anal fistula that had rear internal open were randomly divided into treatment group（ 30cases） and controlled group（ 30cases）. To observe the cure rate,sequelae and postoperative pain index of the two groups of patients. Results： The short-term cure rate of the two groups was 100%,but in the long term,the experimental group had 1cases. The controlled group had 2cases. Postoperative pain was significantly different（ P〈0. 05）. Conclusion： The two methods have achieved satisfactory curative effect,but the treatment group is better than the controlled group in the anus protection function,and can improve the quality of life of patients,and it＇s worthy of clinical promotion.

关 键 词：复杂性肛瘘 分段治疗 挂线法 

分 类 号：R657.16[医药卫生—外科学]