| "分段切开,多重挂线术"治疗高位复杂性肛瘘临床研究 |
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| 引用本文： | 翁立平,季利江."分段切开,多重挂线术"治疗高位复杂性肛瘘临床研究[J].结直肠肛门外科,2007,13(5):294-297. |
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| 作者姓名： | 翁立平 季利江 |
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| 作者单位： | 常熟市中医院中西医结合肛肠病诊疗中心,215500 |
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| 摘 要： | 目的:观察"分段切开,多重挂线术"治疗高位复杂性肛瘘的临床疗效。方法:将60例高位复杂性肛瘘随机分为治疗组40例,采用"分段切开,多重挂线术";对照组20例,采用传统切开挂线术进行对比观察。结果:显示治疗组与对照组显愈率分别为95%和90%,无明显差异(P>0.05),但两组间的术后疼痛程度、创口愈合时间、肛门功能情况存在显著差异(P<0.05)。结论:在治疗高位复杂性肛瘘时,"分段切开,多重挂线术"与传统切开挂线术相比,具有手术操作简单,对组织损伤小,痛苦小、疗程短、肛门功能保护好等优点,该术式的应用,使得高位复杂性肛瘘治疗更加安全、有效。
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| 关 键 词： | 高位复杂性肛瘘 分段切开 多重挂线 临床研究 |
| 修稿时间： | 2007-08-05 |
Clinical study of subsectional dissection and multiple seton operation in the treatment of high complex anal fistula |
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| Weng Liping,ji Lijiang.Clinical study of subsectional dissection and multiple seton operation in the treatment of high complex anal fistula[J].Journal of Colorectal & Anal Surgery,2007,13(5):294-297. |
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| Authors: | Weng Liping ji Lijiang |
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| Affiliation: | Integrated Traditional Chinese and Western Colo--Proctological Treatment Center of ChangShu Municipal TCM Hospital, ChangShu 215500, China |
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| Abstract: | Objective:To observe the clinical effect of subsectional dissection and multiple secton operation on high complex anal fistula.Methods:Sixty cases of high complex anal fistula were randomly divided into two groups.Forty cases in the treatment group were treated with subsectional dissection and multiple secton operation.The other 20 cases in control group were treated with conventional incision and thread-drawing technique.Results:The cure rate of the treatment group and the control group was 95% and 90% respectively.In this aspect,the difference showed no statistical significance(P>0.05).There was significant difference in postoperative pain,healing time and anal function between the two groups(P<0.05).Conclusion:The subsectional dissection and multiple secton operation is an effective and safe procedure for high complex anal fistul. |
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| Keywords: | High Complex Anal Fistula Subsectional Dissection Multiple seton |
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