推移皮瓣药捻式引流术治疗肛瘘的临床研究.pdfVIP

摘要 方法：选取需手术的低位肛瘘患者8例，随机分为治疗组4例和对照组4例。 治疗组采用推移皮瓣术式治疗，术后予药捻式引流；对照组采用常规切开挂线术 治疗。对两组患者术前术后肿痛情况、流脓、潮湿、瘙痒及术后疼痛、出血、尿 潴留、排便困难、伤口感染等并发症进行观察比较。 结果：对低位肛瘘的患者采用推移皮瓣药捻式引流术者较行切开手术者总疗 效没有明显差异，但是行推移皮瓣药捻式引流术者术后肛门自制功能较切开术者 好，未观察到采用推移皮瓣药捻式引流术增加术后并发症的发生。 结论：推移皮瓣药捻式引流术治疗肛瘘对保留肛门括约肌，维持肛门的自制 功能有确切的作用；推移皮瓣药捻式引流术可以治愈肛瘘，解决患者的痛苦。 关键词：推移皮瓣；药捻式引流；肛瘘；肛门失禁 Ⅱ 摘要 CLINICALOF STUDYCURINGANANALFISTUL BYSKINDEVELOPINGPIECEAND MEDICINE TWISTSDYADIC DRAINAGETOGETHER WITHTHEFINGERS ABSTRACT fistulareferstothebottomoftherectumandanal skin Background：Anal canal，the aroundtheanUSformedbetweentheinside andoutsideofthesanlemouth fistula,also knownasanal and menthanwomen． fistula,a goodyoungmiddle-aged 1 Since880France DesfosesfoundHermanandanal Jiepouhuajia glands， infectionrecess hasbeen as analfistulaincidence glandular theory recognizedbeing doctrine．AnalFistulacatheter forthevast of straight patients，non·anal majority in fistula withanal of Fistulaa patients glandsmajoritycatheter-bending．Anal and thesourceof mouth，fistula,branch primary pipe，mouthsecondary．That infectioninthemouthofthe sinusandits on en