引流术结合药物口服治疗高位蹄铁型肛瘘疗效观察(1)
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[摘要] 目的 观察引流术结合药物口服治疗高位蹄铁型肛瘘的疗效。方法 高位蹄铁型肛瘘患者80例根据入院顺序平分为两组，治疗组与对照组各40例，两组首先都采用引流术治疗，治疗组患者在此基础上加用口服中药治疗。结果 经过治疗后，治疗组总有效率为97.5%，对照组总有效率为80.0%，治疗组的临床疗效明显好于对照组(P < 0.05)。治疗组的肉芽组织开始生长时间、内外口愈合时间都明显短于对照组，两者比较差异有统计学意义(P < 0.05)。经过观察，治疗组与对照组在术后流脓、疼痛、瘙痒方面差异均无统计学意义(P > 0.05)。结论 引流术结合药物口服治疗高位蹄铁型肛瘘能提高治疗疗效，缩短肛瘘愈合时间，且安全性好，值得推广应用。
[关键词] 引流术；中药；高位蹄铁型肛瘘；疗效
[中图分类号] R657.1+6 [文献标识码] A [文章编号] 1674-4721(2012)02(a)-0041-02
Drainage combined with oral medication treatment of high anal fistula horseshoe-type efficacy
WANG Zhu LIN Lifeng LIANG Jiantao
Guangdong Medical College Affiliated Houjie Hospital of Dongguan City, Dongguan 523945, China
[Abstract] Objective To observe the drainage combined with oral medication treatment of high anal fistula horseshoe-type effect. Methods High anal fistula horseshoe-type of 80 patients were divided into two groups according to order of admission levels, treatment group and control group of 40 patients, two groups had adopted the first drainage treatment, patients in this treatment group based on the use of oral medicine treatment. Results After treatment, total effective rate was 97.5% in the control group, the total effective rate was 80.0%, the clinical efficacy of the treatment group was significantly better than the control group (P < 0.05). Treatment group time granulation tissue began to grow, both inside and outside the wound healing time was significantly shorter than the control group, there was significant differences (P <0.05). After observation, the treatment group and control group in postoperative pus, pain, itching, there was no significant difference (P > 0.05). Results The drainage combined with oral medication treatment of high anal fistula horseshoe type can improve curative effect and shorten the healing time of anal fistula, and it is safety, should be widely applied.
[Key words] Drainage; Traditional Chinese medicine; High anal fistula horseshoe-type; Effect
肛瘘是指肛管直肠与会阴皮肤之间存在的病理性管道，多是肛门直肠周围脓肿的后遗症或继发病[1]。“蹄铁型”肛瘘是一种特殊型的贯通括约肌肛瘘，也是一种高位弯型肛瘘，瘘管围绕肛管，由一侧坐骨直肠窝通到对侧，成为半环型，如蹄铁状故名[2]。肛瘘不能自愈，只能行手术治疗才能根治。肛瘘的治疗原则除了要根除感染灶和瘘管，还要保护肛门的自制功能 ......
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