生物组织补片填并术后中药内服治疗肛瘘的临床观察.pdfVIP

Clinical Observation of Anal Fistula Treatment with Acellular Extracellular matrix Traditional Chinese Medicine Speciality：Coloproctology，Surgery of TCM Author ：Zhang Jinjie Tutor：Prof. Dingke Abstract Objective: Observe the effects of the anal fistula treatment with acellular extracellular matrix Traditional Chinese medicine. Methods: 40 cases of anal fistula patients who tally with certain qualifications of the Second Hospital of Shandong University were randomly divided into 2 groups: treatment group (20 cases) were treated with acellular extracellular matrix Traditional Chinese medicine. Control group (20 cases) were treated with operations of anal fistula amputate. Observe the healing rate, healing time , ache, secretion substance ,anal function after operation. Results ：The ache, healing time and secretion substance of treatment group were obviously superior to that of control group. The healing rate, recurrence rate and anal function of anal fistula for treatment group is no different. Conclusion: This method has advantages of minimal invasion, light pain, shorter course, protecting anal function and formation. Keywords acellular extracellular matrix; anal fistula; minimal invasion 目 录 引 言 2 临床研究3 1 临床资料3 1.1 病例选择 3 1.2 纳入标准 3 1.3 一般资料 3 2 实验方法与步骤 4 2.1 治疗方法 4 2.2 围手术期处理4 2.3 手术操作方法 5 2.4 观察方法 7 2.5 疗效评定标准 7 2.6 统计学处理 9 3 结果 9 3.1 总疗效比较 9 3.2 疗程比较 9 3.3 复发率比较 9 3.4 术后疼痛情况比较 9 3.5 术后创面分泌物情况比较 10 3.6 肛门功能情况 10 4 结果分析 11 4.1 总疗效分析 11 4.2 各疗效指标分析 11 4.3 结论 11 讨 论 12 1 肛瘘病因12 1.1 中医对肛瘘的认识12 1.2 现代医学对肛瘘的认识 13 2 肛瘘的治疗 13 2.1 中医对肛瘘的治疗13 2.2 肛瘘的现代医学治疗 14 3 异体脱细