多切口括约肌保留术治疗复杂性肛瘘的临床研究(1)
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【中图分类号】R266【文献标识码】A【文章编号】1672-3783(2010)07-0043-03
【摘要]目的 观察和评价多切口括约肌保留术治疗复杂性肛瘘的术式优劣性及临床疗效。方法 将85例复杂性肛瘘患者随机分成试验组和对照组,其中试验组44例采用多切口括约肌保留术,对照组41例采用切缝挂线引流术。观察两组病例手术时间、术后疼痛、排尿障碍、继发感染、肛门功能、创面愈合时间及随访半年内的复发情况结果试验组在术后第2~4天疼痛改善、愈合时间、疗效、肛门功能、随访复发情况明显优于对照组;在手术时间、术后当天疼痛、术后排尿障碍、术后继发感染等方面两组无显著差异。而从加权评分总体疗效比较方面来看,试验组明显优于对照组。结论 多切口括约肌保留术是治疗复杂性肛瘘的优良术式。
【关键词】复杂性肛瘘 多切口 括约肌保留术
Clinic Study of Multi-incision Sphincter Keepping Skill in the Treatment of Complicated Anal Fistula
Cheng ChuanjiangHe Hongyan Zhang Zhen ect.
First People’s Hospital of Neijiang ect.
[Abstract ] ObjectiveObserve and appraise the effect ofmulti-incisionsphincter keepping skill in complicated anal fistula. MethodDivides the85 cases of complicated anal fistula patient into the towgroup, the treatment group (44 cases) adopt multi-incisionsphincter keepping skill, the control group (41 cases) adoptdrainage by cuting and setoning skill . Observe two groups ’ operation time, postoperative pain, urinate obstacle, infection, rectum function, the healling timeResult multi-incisionsphincter keepping skill is superior to drainage by cuting and setoning skill ......
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