Objective:To compare the efficacy of anal adenectomy with virtual hanging wire and anal fistulotomy in the treatment of low anal fistula in infants and children.Methods:60 children with low anal fistula who were admit...Objective:To compare the efficacy of anal adenectomy with virtual hanging wire and anal fistulotomy in the treatment of low anal fistula in infants and children.Methods:60 children with low anal fistula who were admitted to our hospital from October 2021 to March 2022 and met the inclusion criteria were randomly divided into two groups of 30 cases each;the treatment group was treated with anal adenectomy and virtual hanging wire surgery,and the control group was treated with anal fistula resection.The clinical efficacy after treatment was compared.Results:The total effective rate of both groups was 96.67%and the difference between the two groups was not statistically significant(P>0.05).The postoperative pain score of the treatment group was lower than that of the control group(P<0.05).The length of hospitalization and healing time of the treatment group was lower than that of the control group(P<0.05).The anal function of the patients in both groups was normal,and there was no adverse reaction.Conclusion:Anal gland excision and virtual hanging surgery for the treatment of low anal fistula in infants and children have the advantages of mild pain,reduced length of hospitalization,short healing time,and better patient experience as compared to anal fistula excision.展开更多
目的基于气血理论探讨中药热奄包联合穴位贴敷治疗肛瘘术后疼痛的临床疗效。方法选择2022年1月至2023年8月九江市中医院收治的150例肛瘘术后患者作为研究对象,按照随机数字表法分为对照组及治疗组,每组各75例。对照组术后采用穴位贴敷治...目的基于气血理论探讨中药热奄包联合穴位贴敷治疗肛瘘术后疼痛的临床疗效。方法选择2022年1月至2023年8月九江市中医院收治的150例肛瘘术后患者作为研究对象,按照随机数字表法分为对照组及治疗组,每组各75例。对照组术后采用穴位贴敷治疗,治疗组在对照组的基础上给予中药热奄包治疗。比较两组患者术后不同时间段创面面积、创面愈合时间、肉芽组织生长评分、视觉模拟评分法(VAS)及肛缘水肿评分。结果治疗组术后14 d创面面积少于对照组,创面愈合时间短于对照组,差异有统计学意义(P<0.05);治疗组术后14 d肉芽组织生长评分低于对照组,差异有统计学意义(P<0.05);治疗组术后3、14 d VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗组术后3、14d肛缘水肿评分均低于对照组,差异有统计学意义(P<0.05)。结论中医热奄包联合穴位敷贴用于治疗肛瘘术后患者可以缩短创面愈合时间和创面面积,减轻肉芽组织生长和肛缘水肿评分,降低肛瘘术后疼痛感,从而促进患者恢复效果。展开更多
目的探讨经直肠推移瓣术(endorectal advancement flap,ERAF)联合括约肌间瘘结扎术(ligation of the intersphincteric fistula tract,LIFT)治疗高位单纯型肛瘘的临床疗效。方法选取2022年3—9月北京市肛肠医院(北京市二龙路医院)高位...目的探讨经直肠推移瓣术(endorectal advancement flap,ERAF)联合括约肌间瘘结扎术(ligation of the intersphincteric fistula tract,LIFT)治疗高位单纯型肛瘘的临床疗效。方法选取2022年3—9月北京市肛肠医院(北京市二龙路医院)高位单纯型肛瘘住院患者84例,按照随机数字表法分为观察组和对照组,每组42例。观察组采用ERAF联合LIFT,对照组采用传统切除挂线术。比较治疗后两组视觉模拟评分(visual analogue scale,VAS)、临床疗效及并发症情况。结果84例患者中,男58例、女26例,年龄27~59岁,平均(32.6±6.8)岁。观察组术后第1天、第3天、第7天的VAS低于对照组[(5.24±1.08)分比(7.19±1.35)分,(4.76±1.11)分比(6.21±1.09)分,(2.34±0.54)分比(2.98±0.61)分],出血量、住院时间及伤口愈合时间低于对照组[(7.83±1.62)ml比(12.66±2.46)ml,(3.75±1.66)d比(4.55±1.71)d,(28.15±8.65)d比(39.12±10.23)d],术后2个月Wexner评分及肛管收缩压低于对照组[(3.28±0.63)分比(4.46±0.75)分,(178.49±8.82)mmHg比(186.22±10.29)mmHg,1 mmHg=0.133 kPa],肛管静息压高于对照组[(45.88±2.87)mmHg比(43.85±1.74)mmHg],并发症发生率低于对照组(11.90%比33.33%),差异均有统计学意义(P<0.05);两组手术时间的比较,差异无统计学意义(P>0.05)。结论相较于传统肛瘘切除挂线术,ERAF联合LIFT具有患者出血量少、痛苦小、病程短、恢复快等优点,值得临床推广。展开更多
基金Xi’an Municipal Bureau of Science and Technology,No.21YXYJ0060。
文摘Objective:To compare the efficacy of anal adenectomy with virtual hanging wire and anal fistulotomy in the treatment of low anal fistula in infants and children.Methods:60 children with low anal fistula who were admitted to our hospital from October 2021 to March 2022 and met the inclusion criteria were randomly divided into two groups of 30 cases each;the treatment group was treated with anal adenectomy and virtual hanging wire surgery,and the control group was treated with anal fistula resection.The clinical efficacy after treatment was compared.Results:The total effective rate of both groups was 96.67%and the difference between the two groups was not statistically significant(P>0.05).The postoperative pain score of the treatment group was lower than that of the control group(P<0.05).The length of hospitalization and healing time of the treatment group was lower than that of the control group(P<0.05).The anal function of the patients in both groups was normal,and there was no adverse reaction.Conclusion:Anal gland excision and virtual hanging surgery for the treatment of low anal fistula in infants and children have the advantages of mild pain,reduced length of hospitalization,short healing time,and better patient experience as compared to anal fistula excision.
文摘目的基于气血理论探讨中药热奄包联合穴位贴敷治疗肛瘘术后疼痛的临床疗效。方法选择2022年1月至2023年8月九江市中医院收治的150例肛瘘术后患者作为研究对象,按照随机数字表法分为对照组及治疗组,每组各75例。对照组术后采用穴位贴敷治疗,治疗组在对照组的基础上给予中药热奄包治疗。比较两组患者术后不同时间段创面面积、创面愈合时间、肉芽组织生长评分、视觉模拟评分法(VAS)及肛缘水肿评分。结果治疗组术后14 d创面面积少于对照组,创面愈合时间短于对照组,差异有统计学意义(P<0.05);治疗组术后14 d肉芽组织生长评分低于对照组,差异有统计学意义(P<0.05);治疗组术后3、14 d VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗组术后3、14d肛缘水肿评分均低于对照组,差异有统计学意义(P<0.05)。结论中医热奄包联合穴位敷贴用于治疗肛瘘术后患者可以缩短创面愈合时间和创面面积,减轻肉芽组织生长和肛缘水肿评分,降低肛瘘术后疼痛感,从而促进患者恢复效果。
