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不同手术方法治疗高位复杂肛瘘的效果比较 被引量:8

Efficacy comparison of different surgical methods in the treatment of high complex anal fistula
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摘要 目的对比不同手术方法治疗高位复杂肛瘘的效果。方法选取2011年4月~2013年4月在本院进行手术治疗的60例高位复杂肛瘘患者,按照随机数字表法分为观察组30例与对照组30例,观察组采用外切内挂加胶管引流术治疗。对照组采用切开挂线术治疗,对比两组的疗效。结果观察组的治愈率为96.67%,高于对照组的73.33%;观察组的症状复发率为3.33%,低于对照组的10.00%;观察组的住院时间及伤口愈合时间分别短于对照组,差异有统计学意义(P〈O.05)。结论对高位复杂肛瘘患者,采用外切内挂加胶管引流术治疗,有利于伤口愈合,可提高疗效,并降低症状复发率,避免了切开挂线术的一些缺点。 Objective To compare the effeets of different surgieal methods in the treatment of high complex anal fistu- la. Methods 60 eases of patients with high eomplex anal fistula from April 2011 to April 2013 in our hospital were se- lected and divided into 30 eases of observation group and 30 eases of control group by method of random digits table. The circumscribed surgery and drainaged by sebifie duet was used in observation group,conventional disseeted and se- ton therapy was used in eontrol group.The effect of two groups was compared. Results The cure rate of observation group was 96.67%,higher than that of control group(73.33%).Symptoms recurrence rate of observation group was 3.33%, lower than that of control group (10.00%).Hospitalization time and wound healing time in observation group was shorter than that in control group respectively,with statistieal differenee (P〈O.05). Conclusion Circumscribed surgery and drainaged by sebifie duet in the treatment of patient with high complex anal fistula is benefieial to wound healing,can improve effeet,reduee symptoms recurrence rate and avoid the shortcomings of traditional dissected and seton therapy.
出处 《中国当代医药》 2014年第10期19-20,23,共3页 China Modern Medicine
关键词 肛瘘 胶管 引流 外切内挂 疗效 Anal fistula Sebifie duet Drainage Cireumseribe Curative effect
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