|
|
Effects of Sphincter-retaining Thread-drawing Therapy and Fistulectomy on Short-term Efficacy, Healing Time and Complications in Patients with Complex anal Fistula |
YIN Yudi, FANG Wenhui, NIU Zhongbao, et al |
Provincial Hospital Affiliated to Shandong University, Shandong Ji'nan 250021, China |
|
|
Abstract Objective: To observe the effects of sphincter-retaining thread-drawing therapy and fistulectomy on the short-term efficacy, healing time and complications of patients with complex anal fistula. Methods: 90 patients with complex anal fistula were divided into sphincter-retaining thread-drawing therapy group (study group, n=45) and fistulectomy group (control group, n=45). The operation situation was observed, and the short-term efficacy was evaluated at 1 month after operation. The postoperative healing and anal function improvement 【anal incontinence score (Wexner)】 were compared between the two groups, and the incidence rate of complications was recorded. Results: The operation situation in study group was better than that in control group (P<0.05). There was no significant difference in the total effective rate between the two groups (P>0.05), and the good improvement rate in study group was higher than that in control group (P<0.05). The wound area, wound healing time and incidence rate of complications in study group were smaller than those in control group (P<0.05). There was no significant difference in the Wexner score between the two groups before operation (P>0.05), and the difference of Wexner score before and after operation in study group was greater than that in control group (P<0.05). Conclusions: Compared with fistulectomy, sphincter-retaining thread-drawing therapy for complex anal fistula can improve the operation situation, enhance the efficacy, and promote wound healing and anal function recovery, and it has good safety.
|
|
|
|
|
[1] 任东林,张恒.复杂性肛瘘诊治中需要注意的几个关键问题[J].中华胃肠外科杂志,2015,18(12):1186~1192. [2] 李振.高位复杂性肛瘘的主管道挂线及支管引流术与瘘管切除缝合术的比较[J].河北医学,2013,19(10):1489~1492. [3] 叶明.保留括约肌挂线法治疗复杂性肛瘘37例[J].陕西中医,2014,35(7):878~879. [4] 欧强,谷云飞,陈邑歧,等.保留括约肌挂线法治疗克罗恩病肛瘘的临床疗效评价(附22例报道)[J].中国普外基础与临床杂志,2014,21(4):479~481. [5] 陈孝平,汪建平.外科学[M].人民卫生出版社,2013.416~419. [6] Chidi VN,Schwartz DA.Imaging of perianal fistulizing crohn's disease[J].Expert Rev Gastroenterol Hepatol,2015,9(6):797~806. [7] Schafer AO.Perianal inflammatory diseases:classification and imaging[J].Radiologe,2018,58(4):344~354. [8] 郑丽华,石玉迎,贾兰斯,等.应用虚实结合挂线法与传统实挂线法治疗高位肛瘘的临床观察[J].中华中医药杂志,2017,32(2):587~590. |
|
|
|