脱细胞真皮基质治疗高位复杂肛瘘32例疗效观察.pdfVIP

·538· ·论著· 脱细胞真皮基质治疗高位复杂肛瘘32例 疗效观察 田颖 于洪顺陈希琳 [摘要】 目的探讨高位复杂肛瘘的微创治疗方法，研究脱细胞真皮基质在高位复杂肛瘘中 的应用价值。方法32例高位复杂肛瘘患者，采用低位瘘管切开、内口挂线，高位支管脱细胞真皮 基质填塞治疗。结果32例患者中有26例获得一期治愈，6例患者治疗失败，改行肛瘘切开挂线 术后痊愈。高位复杂肛瘘治愈率81．2％。结论应用脱细胞真皮基质材料治疗高位复杂肛瘘具 有一定的优势，但尚需进一步总结经验。 [关键词】 脱细胞真皮基质； 高位复杂肛瘘 [中图分类号】R657．1+6[文献标识码]A[DOI]10．3969／j．issn．1005-6483．2010．08．016 Useofacellulardermalmatrixforthetreatmentof anaIfistula：Are· hi【ghcomplex of32easesTIAN Anorectal port Ying，YU舶几g—shun，CHEN艇一轨(Be彬ngHospital， ＆班硝100032，China) To the invasivetreatmentfor anal high [Abstract]Objectiveexploreminimally complex fistulaandthe ofacellulardermalmatrixinthisdisease．MethodsInthe32casesof application hi小 anal lowfistula at were thein— complexfistula，theproceduresadopted，includingincision，thread—drawing temal branchacellulardermalmatrix clinical wasobserved．Re- efficacy opening，highpipe packing．The suitsInthe32 were 6 failureandthenrecovered patients，26primarilycured，andpatientsexperienced conversionto ofacelhlardermal by incision—thread—drawingprocedure．ConclusionApplication matrixmaterialsinthetreatmentof analfistula more possessesadvantages，but hiighcomplex experiences needtobeaccumulated． fistula aceHulardermal anal [Keywords] matrix；highcomplex 肛瘘为肛肠外科常见疾病之一，是指肛周皮肤和 体质、糖尿病、凝血机制异常。排除肿瘤、炎性肠病性 直肠相通的一种慢性感染性管道…。高位