生物补片内口封闭瘘道填塞术治疗肛瘘临床观察

Clinical Research on the Treatment of Anal Fistula by the Technique of Closing Internal Opening and Filling Anal Fistula by Biological Patch

目的:探讨生物补片内口封闭瘘道填塞术治疗肛瘘的临床疗效。方法:应用生物补片内口封闭瘘道填塞术治疗肛瘘。结果:本组13例患者均在病程中可见补片与组织相溶良好,部分补片逐渐降解吸收,外口逐渐愈合。经手术出院13例,其中痊愈10例,为低位肛瘘;显效1例,为低位复杂性肛瘘;有效1例,为高位复杂性肛瘘;无效1例,亦为高位复杂性肛瘘。结论:生物补片内口封闭瘘道填塞术在减轻患者疼痛,缩小创面,减少术后肛管缺损等方面具有显著优势。

Objective：To study the clinical curative effects on the treatment of anal fistula by the technique of closing internal opening and filling anal fistula by biological patch. Methods ： The technique of closing internal opening and filling anal fistula by biological patch was used to treat anal fistula. Results：During 13 cases of this group, biological patch and tissue dissolved each other well in the course of disease, part patches were gradually degraded and absorbed and external opening were gradually cured. At present, 13 cases had been discharged from hospital, among which, 10 cases were eured and in the condition of low -position anal fistula. 1 case achieved excellent effect and was in the condition of low - position and complex anal fistula and 1 case was effective and in the condition of high - position and complex anal fistula. 1 case was ineffective and also in the condition of high - position and complex anal fistula. Conclusion ： The technique of closing internal opening and filling anal fistula by biological patch has great superiority in alleviating pain in patients, narrowing areas of wounds, and reducing postoperative defect of anal canal.