[1]丁雅卿,董青军,林晖,等.顾氏外科特色多切口分段拖线疗法治疗低位复杂性肛瘘的多中心临床研究[J].西部中医药,2018,31(05):4-7.
　DING Yaqing,DONG Qingjun,LIN Hui,et al.Gu′s Surgical Characterstic Towing Therapy by Multiple Incision and Subsection in Treating Low Complex Anal Fistula: a Polycentric Clinical Study[J].Western Journal of Traditional Chinese Medicine,2018,31(05):4-7.
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顾氏外科特色多切口分段拖线疗法治疗低位复杂性肛瘘的多中心临床研究()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年05期
页码:
4-7
栏目:
出版日期:
2018-05-15

文章信息/Info

Title:
Gu′s Surgical Characterstic Towing Therapy by Multiple Incision and Subsection in Treating Low Complex Anal Fistula: a Polycentric Clinical Study
文章编号:
1004-6852(2018)05-0004-04
作者:
丁雅卿1，董青军1，林晖2，乔敬华3，曹永清1△
1 上海中医药大学附属龙华医院，上海 200032； 2 上海市长宁区天山中医医院；3 上海市奉贤区奉贤中医医院
Author(s):
DING Yaqing1, DONG Qingjun1, LIN Hui2, QIAO Jinghua3, CAO Yongqing1△
1 Longhua Hospital Shanghai University of TCM, Shanghai 200032, China;2 Tianshan TCM Hospital of Changning District; 3 Fengxian TCM Hospital of Fengxian District
关键词:
肛瘘; 低位复杂性; 拖线疗法; 多切口分段; 外科特色; 临床研究; 多中心; 顾氏
Keywords:
anal fistula;  low complex;  towing therapy;  multiple incisions and subsection;  surgical characterstic;  clinical study;  polycenteric;  Gu′s
分类号:
R266
文献标志码:
A
摘要:
目的：评价顾氏外科特色多切口分段拖线疗法治疗低位复杂性肛瘘的有效性及安全性。方法：采用多中心、随机对照的试验设计，3个临床研究中心按1∶1∶1随机纳入低位复杂性肛瘘患者120例，每一个分中心有治疗组、对照组各20例。治疗组采用多切口分段拖线法，对照组采用肛瘘切开术。比较2组治愈率、愈合时间，术后疼痛、渗出、发热积分，愈合后6个月肛管直肠压力、复发率及住院天数、费用。结果：治疗组在术后疼痛、术后渗出、愈合后6个月的肛管静息压改善方面优于对照组(P＜0.05)，在愈合时间、住院天数及住院费用方面少于对照组(P＜0.05)；2组治愈率比较差异无统计学意义(P＞0.05)，随访6个月无复发。结论：顾氏外科特色多切口分段拖线疗法治疗低位复杂性肛瘘具有术后痛苦小、愈合快，肛门功能损伤小等优势，疗效优于肛瘘切开术。
Abstract:
Objective: To assess the effectiveness and the safety of Gu′s surgical features towing therapy by multiple incisions and subsection in treating low complex anal fistula. Methods: By adopting polycentric, randomized controlled trial design, three clinical research centers included 120 patients with low complex anal fistula according to the ratio of 1:1:1randomly, each branch center contained the treatment group and the control group, 20 cases each group. The treatment group used towing therapy by multiple incisions and subsection, and the control group anal fistulotomy. Cure rate, healing time, postoperative pain, exudation, and fever scores, anorectal pressure in six months after healing, relapse rate, hospitalization days and expenses were compared between both groups. Results: The treatment group was superior to the control group in postoperative pain, postoperative exudation and anorectal pressure in six months after healing(P＜0.05), less than the control group in healing time, hospitalization days and expenses obviously (P＜0.05). The difference had no statistical meaning in the comparisons of healing rate between both groups (P＞0.05), there was no relapse in six-month follow-up. Conclusion: Gu′s surgical features towing therapy by multiple incisions and subsection in treating low complex anal fistula possesses the advantages of little pain, quick healing, small anal function and others, its effects are superior to these of anal fistulotomy.

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[1]马英.分段开窗旷置对口引流切开挂线联合中药治疗复杂性肛瘘148例[J].西部中医药,2013,26(06):78.
　MA Ying.Treatment for 148 Cases of Complex Anal Fistula with TCM and the Operation of Integrate Subparagraph, Fenestration, Excision, Seton, Contra-aperture and Drainage[J].Western Journal of Traditional Chinese Medicine,2013,26(05):78.
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备注/Memo

备注/Memo:
收稿日期：2017-12-27 *基金项目：“十二五”国家科技支撑计划项目（编号2015BAI04B00）；上海市肛肠病中医临床研究基地建设项目(编号ZY3-LCPT-1-1002)；上海市市级医院适宜技术项目(编号SHDC12014201)。 作者简介：丁雅卿(1986—)，女，在读博士研究生，主治医师。研究方向：肛肠良性疾病的临床诊疗。 △通讯作者：曹永清(1961—)，男，博士研究生导师，教授，主任医师。研究方向：肛肠良性疾病的临床诊疗。
更新日期/Last Update: 2018-05-15