摘要
目的探讨手术加抗痨治疗结核性肛瘘的临床疗效。方法对采用2HRZE/4HR抗痨方案,手术切除瘘管及肛周结核病灶,术后每日用中药坐浴、熏洗伤口及利福平、异烟肼混合液换药治疗的52例结核性肛瘘患者临床资料进行回顾性分析。结果 52例结核性肛瘘均一次手术治愈,疗程15～30d,随访1～3年,均无复发。结论结核性肛瘘应全程抗痨治疗与手术切除结核病灶相结合,术后伤口用中药坐浴、熏洗,抗痨药物换药,能有效促进伤口愈合,防止结核病灶复发。
Objective To investigate effect of surgery plus 2HRZE/4HR on tuberculous anal nstuia. Methods Fifty-two patients received 2HRZE/4HR,resection for fistula and perianal tuberculosis focus,after the surgery, with Chinese traditional Medicine daily Sitz bath by themselves, change a medical prescription with rifampicin isoniazid mixture. Results 52 cases of tuberculous were cured by the first time operation. The course of treatment was 15-30 days, and there were no recurrence during follow up of 1-3 years. Conclusion The tuberculous anal fistula and perianal tuberculosis focus should be removed surgically with 2HRZE/4HR and Chinese traditional medicine after operation.
出处
《结直肠肛门外科》
2011年第5期322-323,共2页
Journal of Colorectal & Anal Surgery
关键词
结核
肛瘘
手术
抗痨
Tuberculosis anal fistula Treatment
