摘要
为探讨经肛门括约肌间切开术(TROPIS)治疗高位复杂性肛瘘的临床疗效,将42例高位复杂性肛瘘患者,随机分为治疗组和对照组各21例。治疗组采用TROPIS术治疗,对照组采用肛瘘切开挂线术治疗。比较两组术后疼痛、愈合时间、创面面积,瘢痕面积和肛门功能等。结果显示,2组临床总有效率比较,差异无统计学意义(P>0.05)。治疗组疼痛评分、愈合时间、住院时间、创面面积及瘢痕面积均优于对照组,差异有统计学意义(P<0.05),术后1个月及3个月治疗组肛管静息压、肛管最大收缩压、Wexner肛门失禁评分均优于对照组,差异有统计学意义(P<0.05)。结果表明,TROPIS术治疗高位复杂性肛瘘安全可靠,能最大程度的保持肛管形态和括约肌功能,术后疼痛轻微,创面恢复快,术后瘢痕小,值得临床推广应用。
This study was to investigate the clinical effect of high complex anal fistula(HCAF)treated with TROPIS procedure,randomly divided 42HCAF patients into treatment group(21cases,received TROPIS procedure)and control group(21cases,incision&thread-drawing);then,compared both groups'patients'pain,wound healing time,wound-surface area and scar area,and anal function,etc.As results,both groups'total effective rate had no statistical difference(P>0.05);in pain ratings,heaing time,hospitalization stay,wound-surface area,and scar area treatment group was all super to control group(all,P<0.05);1 and 3months after surgery in anal resting pressure,and anal max.systolic pressure,as well as the Wexner score ratings on anal incontinence treatment group was all superior to control group(P<0.05).Results show that for HCAF TROPIS procedure is safe and feasible,can maintain anal form and its sphincter's function in max.degree,and,after surgery,patients'pain is slight,their wound-surface recovery is faster,scar is smaller,etc,thus worthy to be populatized to use clincially.
作者
牛超
秦建峰
魏茜茜
NIU Chao;QIN Jian-feng;WEI Qian-qian(Coloproctological Dept.,Changzhi City's Hospital of TCM,Shanxi 046015;Heji Hospital Affiliated to Changzhi Medical College,Changzhi,Shanxi 046011)
出处
《中国肛肠病杂志》
2021年第6期29-31,共3页
Chinese Journal of Coloproctology
