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旷置挂线术与传统挂线术治疗高位肛瘘的对比分析

A comparative Study of Thread-drawing and Lay-open Therapy and Traditional Thread-drawing Therapy in Treating High Anal Fistula

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【作者】 包散丹张勇

【Author】 BAO San-dan,ZHANG Yong(Department of Proctology Chinese and Mongolian traditional medicine Hospital in Inner Mongolia,Huhhot 010020 China)

【机构】 内蒙古中蒙医医院肛肠科

【摘要】 目的:对比分析旷置挂线术与传统挂线术疗效,为高位肛瘘术式优化提供临床依据。方法:将124例肛瘘患者分为旷置挂线组68例,传统挂线组56例,观察术后切口愈合时间、肛门疼痛程度、肛门失禁、肛门变形发生率及手术前后肛管直肠压力变化,并对相关数据进行统计学分析。结果:与传统挂线组相比,旷置挂线组近期复发率降低,切口愈合时间缩短,术后疼痛程度减轻,肛门变形发生率降低(P<0.05)。结论:旷置挂线术是一种安全有效的术式,值得临床推广应用。

【Abstract】 Objective:to evaluate the effect of thread-drawing and lay-open therapy and traditional thread-drawing therapy so as to provide clinical evidence for the improvement of operation of high anal fistula.Methods:124 cases of high anal fistula were divided into two groups-the thread-drawing and lay-open therapy 68 cases and traditional thread-drawing therapy 56 cases.Time of incision healing,degree of anal pain,rate of postoperative complications such as fecal incontinence and anal deformation,the changes of the anal resting pressure before and after the operation were analysed.Results:significant differences were observed between two groups in the degree of incision pain,time of incision healing,recent reccrence rate and deformation(P<0.05).Conclusion:thread-drawing and lay-open therapy is both safe and effective method,which is worth spreading.

  • 【文献出处】 内蒙古医学杂志 ,Inner Mongolia Medical Journal , 编辑部邮箱 ,2009年09期
  • 【分类号】R657.16
  • 【被引频次】6
  • 【下载频次】73
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