中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
11期
47-48
,共2页
复杂性肛瘘%疗效%术式
複雜性肛瘺%療效%術式
복잡성항루%료효%술식
Complex anal fistula%Curative effect%Operation methods
目的：探讨不同手术方式在复杂性肛瘘治疗中的临床疗效及优点。方法：2002年4月-2014年1月收治复杂性肛瘘患者255例，其中行切缝内口引流术64例，切开挂线术68例，瘘管旷置术58例，瘘管摘除缝合术65例。对255例复杂性肛瘘进行术后随访。结果：255例患者随访时间7个月～3年，平均(11.8±4.8)个月。切缝内口引流术复发6例(9.4%)，平均愈合时间(19.4±5.6)d；切开挂线术复发2例(2.9%)，平均愈合时间(20.1±5.3)d；瘘管旷置术复发7例(12.1%)，平均愈合时间(28.8±7.2)d；瘘管摘除缝合术复发9例(13.8%)，平均愈合时间(24.7±6.9)d。结论：高位的复杂性肛瘘常采用瘘管旷置术和切开挂线术，低位的复杂性肛瘘常采用瘘管摘除缝合术和切缝内口引流术。
目的：探討不同手術方式在複雜性肛瘺治療中的臨床療效及優點。方法：2002年4月-2014年1月收治複雜性肛瘺患者255例，其中行切縫內口引流術64例，切開掛線術68例，瘺管曠置術58例，瘺管摘除縫閤術65例。對255例複雜性肛瘺進行術後隨訪。結果：255例患者隨訪時間7箇月～3年，平均(11.8±4.8)箇月。切縫內口引流術複髮6例(9.4%)，平均愈閤時間(19.4±5.6)d；切開掛線術複髮2例(2.9%)，平均愈閤時間(20.1±5.3)d；瘺管曠置術複髮7例(12.1%)，平均愈閤時間(28.8±7.2)d；瘺管摘除縫閤術複髮9例(13.8%)，平均愈閤時間(24.7±6.9)d。結論：高位的複雜性肛瘺常採用瘺管曠置術和切開掛線術，低位的複雜性肛瘺常採用瘺管摘除縫閤術和切縫內口引流術。
목적：탐토불동수술방식재복잡성항루치료중적림상료효급우점。방법：2002년4월-2014년1월수치복잡성항루환자255례，기중행절봉내구인류술64례，절개괘선술68례，루관광치술58례，루관적제봉합술65례。대255례복잡성항루진행술후수방。결과：255례환자수방시간7개월～3년，평균(11.8±4.8)개월。절봉내구인류술복발6례(9.4%)，평균유합시간(19.4±5.6)d；절개괘선술복발2례(2.9%)，평균유합시간(20.1±5.3)d；루관광치술복발7례(12.1%)，평균유합시간(28.8±7.2)d；루관적제봉합술복발9례(13.8%)，평균유합시간(24.7±6.9)d。결론：고위적복잡성항루상채용루관광치술화절개괘선술，저위적복잡성항루상채용루관적제봉합술화절봉내구인류술。
Objective:To explore the clinical curative effect and advantages of different operation methods in the treatment of complex anal fistula.Methods:255 patients with complex anal fistula were selected from April 2002 to January 2014.64 cases were given cutting seam endostoma drainage,68 cases were incision hang line operation,58 cases were fistula putting-aside operation, 65 cases were fistula removed suture operation.255 cases of complex anal fistula were followed up postoperatively.Results:255 patients were followed up for 7 months to 3 years,the average was (11.8 ± 4.8)months.6 cases(9.4%) were recurrence in cutting seam endostoma drainage,the mean healing time was (19.4 ± 5.6)days.2 cases(2.9%) were recurrence in incision hang line operation,the mean healing time was (20.1±5.3)days.7 cases(12.1%) were recurrence in fistula putting-aside operation,the mean healing time was (28.8±7.2)days.9 cases(13.8%) were recurrence in fistula removed suture operation,the mean healing time was (24.7 ± 6.9)days.Conclusion:The elevatus complex anal fistula often adopts fistula putting-aside operation and incision hang line operation,the low-order complex anal fistula often adopts fistula removed suture operation and cutting seam endostoma drainage.
