Clinical observation of diversion treatment for complex anal fistula
10.7619/jcmp.201801033
- VernacularTitle:开窗留桥改道术治疗复杂性肛瘘的临床观察
- Author:
Huilei XU
1
;
Yong'an ZHANG
;
Min ZHAI
;
Qi ZHANG
;
Feng ZHOU
;
Yizhen WU
;
Yanmin LU
Author Information
1. 上海市浦东新区中医医院中医肛肠科
- Keywords:
diversion treatment;
complex anal fistula;
anal function
- From:
Journal of Clinical Medicine in Practice
2018;22(1):107-110
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of diversion treatment for complex anal fistula.Methods A total of 60 patients with complex anal fistula were enrolled in this study were divided into control group and experimental group according to the random number table method,with 30 cases per group.All patients were given routinely imaging examination and other related checks,and the intestine tract was cleaned in the morning of the operative day.The control group were treated with low anal fistula resection,while the experimental group with diversion treatment.The efficacy of treatment,postoperative anal function,wound healing time and pain were compared between the two groups.Results The total effective rate in the experimental group was higher than that in the control group (P ＜ 0.05).The Wexner score of the anus function in the experimental group was lower than that in the control group at 1,7,14 and 21 d after the operation,and the differences were statistically significant (P ＜ 0.05).The wound healing time,VAS score on 14thpostoperative day,intraoperative wound area and postoperative scar size were lower in the experimental group than that in the control group (P ＜ 0.05).Conclusion Diversion treatment for complex anal fistula has significant efficacy,faster postoperative wound healing,and it can effectively relieve clinical symptoms and signs,improve anal function,reduce body pain,so it is worthy of clinical promotion.
