传统中医外治法“拖线法和垫棉压迫法”治疗伴有支管和脓肿的肛瘘研究.docVIP

  Traditional Chinese Surgical Treatment “suture dragging combined with pad compression” for anal fistulae with secondary tracks and abscess# 5 10 15 20 25 30 35 Lu Jingen, Wang Chen** (Department of Anorectal Surgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, ShangHai 200032) Abstract: Purpose This study aimed to evaluate the efficacy and safety of traditional Chinese surgical treatment “suture dragging combined with pad compression” vs fistulotomy for anal fistulae with secondary tracks and abscess. Methods From January 2008 to March 2009, 60 patients with intersphincteric or transsphincteric anal fistulas with secondary tracks and abscess were randomly divided into study group (suture dragging combined with pad compression, SDPC) and control group (fistulotomy, F). The time of healing, recurrence rate, postoperative pain (VAS), patient satisfaction， incontinence evaluation and anorectal manometry before and after treatment were all examined. Results The time of healing (SDPC 24.33d vs F 31.57d; p＜0.01) was significantly shorter and patient satisfaction score (SDPC 4.07 vs F 3.37; p＜0.05) was significantly higher in the SDPC group. There were no significant differences between both groups regarding age, gender, fistulae type, mean postoperative pain scores, recurrence rate, incontinence evaluation and anorectal manometry (including maximal anal squeeze pressure and anal resting pressure) before and after treatment. Conclusions Traditional Chinese surgical treatment “suture dragging combined with pad compression” for anal fistulae with secondary tracks and abscess is less invasive, safe and effective. Keywords: kTraditional Chinese surgical treatment; suture dragging; pad compression; anal fistulae; secondary tracks and abscess 0 Introduction Anal fistulae are common disease in human beings. Surgery is one of the most effective therapies. The main objective of surgery for anal fistulae is to eradicate the fistula tract