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内口黏膜瓣推移修补瘘道部分剥除治疗高位肛瘘的疗效评价
张亚锋,杜文武,陈伟
0
(遂宁市中心医院肛肠科;川北医学院附属医院肛肠科)
摘要:
【摘要】目的 探究内口黏膜瓣推移修补辅助瘘道部分剥除治疗高位肛瘘的临床疗效。方法 选取2015年1月~2016年7月我院收治的86例高位肛瘘患者,根据抽签法分为观察组和对照组,每组43例。观察组采取内口黏膜瓣推移修补辅助瘘道部分剥除术,对照组根据传统方式完成肛瘘切开挂线术。比较两组患者临床疗效,肛门直肠压力情况,肛门功能情况,术后疼痛情况,后遗症情况。结果 手术后,观察组临床总有效率和对照组比较差异无统计学意义(P>0.05)。观察组肛管静息压、直肠静息压、肛管收缩压高于对照组(P<0.05)。观察组的肛门功能主观评分、肛门指诊评分低于对照组(P<0.05)。观察组的VAS评分低于对照组(P<0.05)。观察组的肛门变形、肛门部分失禁、肛门潮湿并发症发生率低于对照组(P<0.05)。结论 内口黏膜瓣推移修补辅助瘘道部分剥除治疗高位肛瘘,给患者带来的痛苦较轻,刺激反应小,有利于患者肛门功能的恢复,并发症发生率低,临床疗效良好。
关键词:  内口黏膜辦  瘘道  高位肛瘘  疗效
DOI:
基金项目:四川省卫生厅科研课题(120576)
Clinical observation of the treatment of high anal fistula with partial mucosal resection and auxiliary fistula
ZHANG Yafeng,DU Wenwu,CHEN Wei
(Department of Anorectal Surgery,Suining Central Hospital;Department of Anorectal Surgery, The Affiliated Hospital of North Sichuan Medical College)
Abstract:
【Abstract】Objective To study the clinical effect of internal mucosal resection and repair of fistula for the treatment of high anal fistula. Methods From January 2015 to July 2016, 86 patients with high anal fistula were selected in our hospital. The patients were divided into observation group and control group. Observation group were taken the mouth of the mucosal flap to repair the auxiliary fistula partial stripping. The control group was treated with the traditional way to complete the anal fistula incision hanging thread.The clinical efficacy, anorectal pressure, anal function, postoperative pain and sequelae were observed. Results After operation, there was no significant difference in the total effective rate between the observation group and the control group (P>0.05). The anal resting pressure, rectal resting pressure and anal systolic pressure in the observation group were significantly higher than that in the control group (P<005). The subjective score of anal function and anal advice score in the observation group were significantly lower than that in the control group (P<0.05). The VAS score of the observation group was significantly lower than that of the control group (P<0.05). The incidence of anal deformation, anal incontinence and anal dampness complication in the observation group were significantly lower than the control group (P<0.05). Conclusion The internal mucosal resection and repair of fistula for the treatment of high anal fistula patients bring the patient less the pain, the low incidence of complications and good clinical curative effect.
Key words:  Mouth mucous membrane  Fistula  High anal fistula  Efficacy

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