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Comparison of clinical effect of transsphincteric fistula ligation and fistula resection on anorectal fistula |
GAO Gui-yun MI Yuan-yuan SUN Qi-ming |
The Sixth Department of General Surgery,Liaoyang City Central Hospital,Liaoning Province,Liaoyang 111000,China |
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Abstract Objective To analyze the effect of transsphincteric fistula ligation and fistula resection on anorectal fistula.Methods A total of 106 patients with anorectal fistula admitted to Liaoyang City Central Hospital from October 2016 to October 2019 were selected as the research subjects.According to the double-blind principle(before grouping,patients and researchers were not aware of the grouping status and the treatment received.),they were divided into two groups.The normal group(53 cases)was treated with fistula resection,and the research group(53 cases)was treated with transsphincter fistula ligation,and the clinical effects of the two groups were observed.Results The comparison of pain severity and anal function scores between the two groups before operation,the differences were not statistically significant(P>0.05).At 30 days after operation,both groups had lower pain and anal function scores than before operation,the differences were statistically significant(P<0.05).At 30 days after operation,the pain and anal function score in the research group were lower than that of the normal group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the research group was lower than that in the normal group,the difference was statistically significant(P<0.05).Conclusion Transsphincteric fistula ligation and fistula resection are effective in the treatment of anorectal fistula with simple operation and few complications,and can also rapidly improve the anal function of patients and relieve pain.
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Received: 08 May 2020
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[1] |
郭彦峰,张宏昌.经括约肌间瘘管结扎术治疗肛瘘的效果及对肛肠动力学指标的影响[J].临床医学研究与实践,2020,5(5):51-53.
|
[2] |
张祎,白晓刚.经括约肌瘘管结扎术与传统肛瘘手术治疗简单性肛瘘的疗效对比分析[J].航空航天医学杂志,2018,29(9):1057-1060.
|
[3] |
潘冬,徐为,孙尚颖.经括约肌间瘘管结扎术治疗肛瘘的疗效及对肛门功能的影响[J].解放军预防医学杂志,2019,37(7):116-117.
|
[4] |
宋顺心.美国结直肠外科医师学会肛周脓肿、肛瘘和直肠阴道瘘临床诊治指南[J].中华胃肠外科杂志,2017,20(12):1437-1439.
|
[5] |
隋悦刚,隋悦玲,徐世玉.经括约肌间瘘管结扎术与常规肛瘘切除术治疗低位肛瘘对比研究[J].世界最新医学信息文摘,2017,(33):147.
|
[6] |
吴闯,王振宜,张海岩,等.LIFT 术与肛瘘切除术治疗括约肌间型和经括约肌型肛瘘的临床疗效观察[J].结直肠肛门外科,2018,24(5):503-508.
|
[7] |
邱丽娟,黄银.改良经括约肌间瘘管结扎术LEFT-Plug 术治疗高位肛瘘的效果研究[J].中国医药指南,2018,16(34):58-59.
|
[8] |
张祎,宫爱民.经括约肌间瘘管结扎术治疗前位肛瘘疗效观察[J].大连医科大学学报,2018,40(3):234-237,246.
|
[9] |
范梦凯.经括约肌间瘘管结扎术治疗低位肛瘘的疗效分析[J].临床医药文献电子杂志,2019,6(66):88.
|
[10] |
闫秋芳.经括约肌间瘘管结扎术对低位肛瘘的治疗效果探讨[J].医药论坛杂志,2019,40(2):138-140.
|
[11] |
许忠杭,鲁桂明,徐祥华,等.经括约肌间瘘管结扎术与瘘管切除术治疗肛瘘的疗效比较[J].结直肠肛门外科,2016,22(6):597-600.
|
[12] |
何新立,李辰.经括约肌间瘘管结扎术治疗低位肛瘘效果观察[J].社区医学杂志,2017,15(14):57-58.
|
[13] |
徐世海,李勇斌,杨文娟,等.LIFT-Plug 术治疗低位单纯性肛瘘的效果[J].医学信息,2020,33(3):111-112.
|
[14] |
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.
|
[15] |
潘春来,黄大年,袁和学.改良经括约肌间瘘管结扎术治疗肛瘘的临床疗效分析[J].中华胃肠外科杂志,2015,18(12):1268-1270.
|
|
|
|