| 唐勇,艾丽芳,周振理.无弹力自锁挂线结合拖线治疗高位复杂性肛瘘的临床研[J].实用中西医结合临床,2017,17(3): |
| 无弹力自锁挂线结合拖线治疗高位复杂性肛瘘的临床研 |
| Clinical study of inelastic and self-holding seton operation with thread-dragging therapy in the treatment of high complex anal fistula |
| 投稿时间：2017-02-24 修订日期：2017-03-13 |
| DOI： |
| 中文关键词: 高位复杂性肛瘘 无弹力自锁式挂线 拖线 |
| 英文关键词: high Complex Anal Fistula inelastic and self-holding seton thread-dragging therapy |
| 基金项目: |
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| 中文摘要: |
| 目的：观察无弹力自锁挂线结合拖线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和对照组，每组30例，治疗组采用无弹力自锁式挂线结合拖线治疗高位复杂性肛瘘；对照组30例，采用传统切开挂线术治疗高位复杂性肛瘘，并进行对比观察。结果：显示治疗组与对照组总有效率分别为 95%和90%，无明显差异(P＞0.05)，但两组间的疗程、肛门功能情况等存在显著差异 (P<0.05)。结论：在治疗高位复杂性肛瘘时，无弹力自锁式挂线结合拖线治疗与传统切开挂线术相比，具有手术操作简便、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简便、安全、有效。 |
| 英文摘要: |
| Objective：To observe the clinical effect of inelastic and self-holding seton operation with thread-dragging therapy on high complex anal fistula. Methods：Sixty cases o f high complex anal fistula were randomly divided into two groups. Thirty cases in the treatment group were treated with inelastic and self-holding seton operation with thread-dragging therapy. The other 30 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 course of treatment，and anal function between the two groups (P＜0.05).Conclusion：The inelastic and self-holding seton operation with thread-dragging therapy is an effective and safe procedure for high complex anal fistula. |
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