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find Keyword "经括约肌间瘘管结扎术" 4 results
  • 经括约肌间瘘管结扎术治疗肛瘘的临床现状

    经括约肌间瘘管结扎(LIFT)术是近年来治疗肛瘘的新术式,具有伤口小、肛门功能损伤小的优点,越来越受到国内外学者的关注。目前LIFT术的临床疗效差异较大,手术适应证较宽泛,手术失败原因不明,有必要对LIFT术的理论依据、操作方法、优缺点、注意事项及临床应用等情况作全面的了解。现对LIFT术的临床现状及争议等情况作一综述。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 经括约肌间瘘管结扎术治疗复杂性肛瘘44例临床疗效观察

    目的评价经括约肌间瘘管结扎术在治疗复杂性肛瘘中的临床疗效。 方法对2009年9月至2014年12月期间南京中医药大学附属医院肛肠科收治的44例经括约肌肛瘘行括约肌间瘘管结扎术患者的临床资料进行回顾性分析。 结果44例中获一期治愈者36例(81.8%);术后括约肌间感染2例,使用银离子敷料换药后治愈,4例出现括约肌间切口感染,形成括约肌间瘘,经直接切开后治愈;完全失败2例,1例因术后症状持续而行挂线治疗后治愈,另1例术后7个月复发(于其他医院行肛瘘切开挂线术)。术后住院时间10~25 d,平均14.7 d;伤口完全愈合时间15~30 d,平均21.1 d。 结论经括约肌间瘘管结扎术是一种简单、有效的保留括约肌术式,该手术减少了对肛门功能的损伤,保证括约肌的完整性。

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  • Treatment on complex anal fistula: retrospection, progress, and consideration

    Objective To trace and review the treatment of complex anal fistula so as to consider whether current procedures and therapies might offer a better choice. Methods Through the literature collected, with the difficulties and contradictions of the treatment of complex anal fistula as the starting point, the currently widely used seton management, the development and deficiency of biological therapy and sphincter preserving surgery, and the change of treatment model of complex anal fistula were reviewed. The research progress and application prospect of intersphincteric fistula ligation was focus attented. Results The treatment of complex anal fistula would be not too much emphasis of healing or radical cure, and more attention to the anus function, shape, fine feeling, and quality of life, has become a consensus. The seton management remained an useful therapy for the treatment of complicated anal fistula through continuous improvement and development, in despite of it has postoperative relapse or mild to moderate anal incontinence. Biotherapy relied on its minimal invasion rising in recent years especially at abroad, but it is limited wider application in China because of its high cost, unstable efficacy, and high recurrence rate. Sphincter-preserving operation always attracts attentions particularly under the background of invasive treatment. It has been already established about efficacy and security of the ligation of intersphincteric fistula tract as a novel procedure, which possessed an excellent advantage for protecting anal continence. Conclusion The ligation of intersphincteric fistula tract is a promising procedure, which tends to be superior than fistulotomy and seton management, may become a first-line treatment of complex anal fistula.

    Release date:2017-01-18 08:04 Export PDF Favorites Scan
  • A prospectively clinical comparative study of ligation of intersphincteric fistula tract in treatment of high simple anal fistula

    ObjectiveTo explore the clinical efficacy and safety of ligation of intersphincteric fistula tract in the treatment of high simple anal fistula.MethodsA prospective collection of 72 patients diagnosed with high simple anal fistula, who admitted to the department of the author’s hospital between March 2015 and December 2017 was performed, and then the patients were divided into two groups according to the random number table method combined with the patients’ wishes: the ligation of intersphincteric fistula tract group (experimental group, 32 cases) and the low incision and high hanging group (control group, 40 cases). Comparison of indexes on the operative effect and physiological function of the sphincter in six months after operation was performed.ResultsCompared with the control group, the patients in the experimental group had short postoperative pain duration, short postoperative wound healing time, high cure rate, low recurrence rate, low initial sensory threshold, high anal resting pressure, and long anal high pressure band length, with statistically significant differences (P<0.05). However, there was no statistically significant difference between the two groups in the operation time, anal maximal contractive pressure, and rectal resting pressure (P>0.05). The results suggested that the physiological function of anus in the experimental group recovered well.ConclusionThe ligation of intersphincteric fistula tract is a safe and reliable method in the treatment of high simple anal fistula, which can be widely used in the clinic.

    Release date:2020-02-28 02:21 Export PDF Favorites Scan
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