摘要
为探讨直肠腔内超声检查联合直肠黏膜瓣推移术治疗高位肛瘘的特点和要点,回顾性分析本院收治52例高位肛瘘患者临床资料。所有患者均行直肠腔内超声检查联合直肠黏膜瓣推移术,观察其术后疗效和后遗症情况。结果显示,超声检查发现瘘管53条,术中发现瘘管56条,超声检查准确率为95%。所有患者均顺利完成手术,创面愈合时间为21~45d,平均34d。随访6个月,痊愈45例,复发7例,治愈率为86%。所有患者均未出现肛门失禁、肛门变形及漏液等后遗症。结果表明,不伴有脓肿或炎症的高位肛瘘在术前行直肠腔内超声检查,采用直肠黏膜瓣推移术治疗,疗效确切,并发症少,可降低复发率,具有较好的临床推广价值。
This study was to probe into the characterics and main points of endorectal ultrasound(ERUS)inspection combined with endorectal mucosal advancement flaps(EMAF)in the treatment of high anal fistula,reviewed 52patients'clinical data treated in authors'hospital:they all had received the combination of ERUS and EMAF,then their effect and legacies status.As results,ERUS found 53pieces of fistula tract,in operation 53were found,thus ERUS's accuracy was up to 95%(53/56);52cases all recieved surgery smoothly;wound-surface healing time was 21-45days(averaged 34days);the follow-up of 6months found 45cases were cured,7suffered from recurrence,thus the curative rate was up to 86%;all of patients did not suffered from legacies such as anal incontinence,anal deformity and transudate.Results show that for the high anal fistula without associated abscess and inflammation taking preoperative ERUS,and EMAF for treatment can achieve certain effect,reduce recurrence rate,and only with less complications,thus has higher popularized value clinically.
作者
邬晨晨
金纯
袁晨晨
郑晨果
WU Chen-chen;JIN Chun;YUAN Chen-chen;ZHENG Chen-guo(Dept.of Coloproctological Surgery,No.2 Hospital Affiliated to Wenzhou Med.University,Wenzhou,Zhejiang 325000)
出处
《中国肛肠病杂志》
2020年第12期25-27,共3页
Chinese Journal of Coloproctology
关键词
高位肛瘘
直肠腔内超声检查
直肠黏膜瓣推移术
High anal fistula
Endorectal ultrasound inspection
Endorectal mucosal advancement flaps
