摘要
目的观察切开扩创术联合藻酸钙伤口敷料换药治疗肛瘘的临床疗效。方法患者取双膝前屈侧卧位,病侧在下,局部浸润麻醉或骶管阻滞麻醉,用探针从瘘道外口轻轻向内口方向逐步探查,至肛内最薄弱处(内口处)穿出,如果内口位置较低,则直接切开皮肤、皮下组织及瘘管和内口;如果内口位置较高,则必须加用挂线方法。术后用藻酸钙及麝香痔疮栓换药直至创面愈合。结果治愈率达99.2%,术后6个月～1年随访仅有3例高位复杂性肛瘘症状复发。结论切开扩创术联合藻酸钙伤口敷料麝香痔疮栓换药治疗肛瘘疗效确切,值得推广。
Objective To observe the clinical therapeutic effect of debridement in combination with calcium alginate dressing on anal fistula. Methods In recumbent position on the affected side with legs anteflexion, after local invasive anesthesia or sacral block anesthesia, the prober was detected gradually and gently to the interior from the external orifice of fistula and penetrated from the weakest part of anus（ the internal orifice ）. If the internal orifice was located quietly lower, the skin, subcutaneous tissue, fistula and internal orifice were cut directly. If located higher, ligation method was supplemented. After operation, calcium alginate and Musk Hemorrhoids Suppository dressing was applied till wound healing. Results The curative rate was 99.2%. Only 3 cases of high complex anal fistula recurred in postoperative follow - up for 6 months to 1 year. Conclusion Debridement in combination with calcium alginate and Musk Hemorrhoids Suppository dressing has definite efficacy on anal fistula and deserves to be promoted.
出处
《世界中西医结合杂志》
2009年第10期740-741,744,共3页
World Journal of Integrated Traditional and Western Medicine
关键词
切开扩创术
藻酸钙
麝香痔疮栓
肛瘘
Debridement
Calcium alginate
Musk Hemorrhoids Suppository
Anal fistula
