隧道式瘘管切除加压包扎法治疗低位复杂性肛瘘的临床研究  

Tunnel Resection of Fistula Tract Combined with Press and Occlusive Dressing in the Treatment of Low Complex Anal Fistula

作　　者：尹吉庆 王芳 杨光[2] 

机构地区：[1]上海医博肛泰医院肛肠外科,上海200023 [2]江苏省徐州市中心医院肛肠科,江苏徐州221009

出　　处：《中国肛肠病杂志》2016年第9期20-22,共3页Chinese Journal of Coloproctology

摘　　要：为了探讨隧道式瘘管切除加压包扎法治疗低位复杂性肛瘘的临床疗效，将2013年3月至2015年2月上海医博肛泰医院收治的80例低位复杂性肛瘘患者，随机分为研究组（隧道式瘘管切除加压包扎法）和对照组（切开挂线引流术），每组各40例，比较两组的临床疗效。结果显示，研究组的治愈率为85．0％（34／40），明显高于对照组的73．0％（29／40）（P〈0．05）。2组患者手术时间、术中出血量的差异均无统计学意义（均P〉0．05）。研究组在术后疼痛评分、住院时间及愈合时间等方面明显优于对照组（均P〈0．05）。2组均无肛门失禁。术后3个月盆底肌电图和肛门直肠测压显示，2组患者运动单位电位时限、肛管静息压和肛管最大收缩压差异均无统计学意义（均P〉0．05）。结果表明，隧道式瘘管切除加压包扎法治疗低位复杂性肛瘘简单有效，治愈率更高，不损伤肛门功能。This study was to investigate the clinical effect of tunnel resection of fistula tract combined with press and occlusive dressing for treating low complex anal fistula,randomly divided 80 cases of this fistula who admitted in author＇s hospital from March 2013 to Feb. 2015 yr. into study group （i.e received abovementioned combined surgical treatment） and control one（i.e received incision thread-drawing drainage）,40 cases for each; then compared both group＇s clinical effects.As results, the curative rate of study group was significantly higher than that of control group（34/40,85.0% vs 29/40,73.0%, P〈0.05）;in operative time,intraoperative bleeding volume there was no statistical difference（all, P〉0.05）;in the score on post operative pain,hospital stay and the time for wound-surface healing,etc study group was all superior to control group（all, P〈0.05）;and both groups had all no anal incontinence.At 3 months after surgery there was no statistical difference in potential time limit of motion unit,anal rest presssure and anal max. systolic pressure showed by pelvic floor electromyogram and anorectal manometry（all, P 〉0.05）.Results show that the combination surgical treatment received by study group is simple, effective, has higher curative rate and not injuring anal function.

关 键 词：低位复杂性肛瘘 隧道式 加压包扎法 

分 类 号：R657.16[医药卫生—外科学]