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改良术式治疗肛瘘的比较研究 被引量:1

Improved operation method in the treatment of anal fistula
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摘要 目的比较改良术式切开半深缝合术和经典切开术治疗肛瘘的疗效,判断其优劣。方法将2006年来本院住院治疗的90例单发肛瘘患者,随机分为治疗组44例,采用切开半深缝合术;对照组46例,采用切开术;通过术后3至9个月跟踪随访,在治疗时间、治疗费用、瘢痕宽度、术后并发症等方面进行判断分析。结果:两组均全部治愈。治疗组平均愈合时间短、费用少、瘢痕宽度小,两组比较均有显著差异(P<0.05)。术后并发症对照组出现出血6例、肛门凹陷畸形5例,而治疗组均无1例发生,两组比较有显著差异(P<0.05)。结论改良术式肛瘘切开半深缝合术治疗肛瘘疗程短,费用低,瘢痕小,并发症少,与经典肛瘘切开术相比疗效更佳。 Objective To compare the curative effect of the two ways in the treatment of anal fistulas ,which were semi-suture and simple incision .Methods 90 patients with simple anal fistulas from 2006 in our hospital were randomly allocated to the two groups. Group SS, 44 cases, adopted semi-suture; Group SI,46 cases,adopted simple incision. We followed up three to nine months after operations, to observe the therapy time, cost, the size of the scar and the postoperative complications , and to estimate the curative effect .Results Two groups were all healed. Group SS had much shorter healing time and much lower cost than Group SI (P〈0.05).The sizes of scars were much smaller in Group SS than in Group SI(P〈0.05). The postoperative complication was much more in Group SI. There was no anal disfunction in Group SS. And disformation occured in five cases in Group SI. Conclusion The semi-suture has better curative effect because of shorter healing time, lower cost, smaller scar, less complication.
出处 《浙江创伤外科》 2008年第4期283-284,共2页 Zhejiang Journal of Traumatic Surgery
关键词 肛瘘 切开半深缝合术 切开术 Anal fistula Semi-suture Incision
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参考文献3

  • 1Hasegawa H,Radley S,Keighley MR.Long-term results of cutting seton fistulotomy[J].Acta Chir Iugosl, 2000,47 (9) : 19.
  • 2谷云飞,陈红锦,史仁杰,陈玉根,何雯玉,孙桂东,潘良富,令狐庆,谢坚凤.保留括约肌挂线法治疗复杂性肛瘘的临床研究[J].南京中医药大学学报,2007,23(1):20-23. 被引量:48
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二级参考文献2

  • 1张东铭,苏宁芳.肛瘘的病因学研究[J].中国肛肠病杂志,1996,16(1):30-32. 被引量:12
  • 2胡伯虎.犬肛门括约肌切开与挂线对直肠肛门管静止压的影响及组织病理学观察[J].中医杂志,1983,24(4):68-68.

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