|
|
The clinical efficacy of LIFT on simple high anal fistula |
ZHAO Jun-min1 HU Peng-cheng2 |
1.Department of General surgery,Dongxiang District Hospital of Traditional Chinese Medicine in Jiangxi Province, Fuzhou 331800,China;
2.Department of TCM Internal Medicine,Dongxiang District Hospital of Traditional Chinese Medicine in Jiangxi Province,Fuzhou 331800,China |
|
|
Abstract ObjectiveTo investigate the clinical effect of LIFT for simple high anal fistula.Methods122 patients with simple high anal fistula in our hospital from January 2014 to December 2016 were randomly divided into control group and observation group,61 cases in each group.The control group underwent fistulotomy and cutting seton,the observation group was treated with LIFT.The therapeutic effects of the two groups were compared.ResultsThe postoperative VAS score,duration of pain,wound healing time,scar length and Wexner scores of the observation group were significantly lower than control group(P<0.05);there was no significant difference in total effective rate between the two groups(P> 0.05).ConclusionFor patients with high anal fistula,LIFT and traditional fistulotomy and cutting seton have the same effect,however,LIFT has the advantages of reducing the degree of postoperative pain,shortening the time of pain,promoting wound healing and protecting anal function.It′s worth popularizing.
|
|
|
|
|
[1] |
吴可,赵浩翔.肛瘘的中西医诊治近况[J].现代中西医结合杂志,2010,19(1):123-126.
|
[2] |
钱群.肛瘘的诊断[J].临床外科杂志,2011,19(4):224-225.
|
[3] |
王保华.切开挂线法治疗高位复杂性肛瘘[J].中国实用医药,2011,6(10):119-120.
|
[4] |
陈杰,王宗荣,王伟.三种手术治疗肛瘘后疗效与肛门功能变化的近远期观察[J].结直肠肛门外科,2016,22(4):402-405.
|
[5] |
张辉,闵丽,张少军.括约肌间瘘结扎术(LIFT)治疗肛瘘临床现状及展望[J].结直肠肛门外科,2013,19(1):62-65.
|
[6] |
毛红,唐平,李薇,等.肛肠疾病术后止痛的中药熏洗技术规范研究[J].现代中西医结合杂志,2012,21(28):3079-3081.
|
[7] |
范雷涛,袁鹏,李玉博,等.LIFT与切开挂线术治疗复杂性肛瘘的疗效比较[J].结直肠肛门外科,2014,20(2):97-100.
|
[8] |
尹朝晖,黄穰浪,张敬成,等.肛瘘内口高度与挂线术后复发的关系[J].中国当代医药,2010,17(2):24-25.
|
[9] |
项鹏飞.切开挂线远端缝合术治疗高位单纯性肛瘘48例疗效观察[D].沈阳:辽宁中医药大学,2012.
|
[10] |
农村广.低位切开高位挂线法治疗高位复杂性肛瘘临床效果分析[J].云南中医中药杂志,2014,35(6):38-39.
|
[11] |
张康为,项雄华.溃疡散联合常规西药对肛瘘挂线术后创面愈合及术后感染的影响[J].中华中医药学刊,2015,33(3):740-742.
|
[12] |
孙薛亮.经括约肌间瘘管结扎术临床研究[D].南京:南京中医药大学,2012.
|
[13] |
郭文涛,高秋霞,郭航勇,等.改良经括约肌间瘘管结扎术-Plug术治疗低位肛瘘的可行性研究[J].中国当代医药,2016,23(7):32-34.
|
[14] |
Hong KD,Kang S,Kalaskar S,et al.Ligation of intersphincteric fistula tract(LIFT)to treat anal fistula:systematic review and meta-analysis[J].Techniques in Coloproctology,2014,18(8):685-691.
|
[15] |
陈哲,郑毅,王振军,等.经括约肌间瘘管结扎术治疗高位单纯性肛瘘的临床疗效[J].中华消化外科杂志,2013,12(7):512-515.
|
[16] |
金炜,王振宜,孙建华,等.括约肌间瘘管结扎术治疗高位单纯性肛瘘临床研究[J].上海中医药杂志,2013,47(10):53-56.
|
|
|
|