改良LIFT术（隧道式瘘管剔除内口缝扎术）治疗高位肛瘘的临床研究

发布时间：2018-05-10 13:46

本文选题：改良LIFT手术 + 高位肛瘘　；参考：《成都中医药大学》2015年硕士论文

【摘要】：目的：观察和评价改良LIFT术治疗高位肛瘘的临床疗效以及安全性。方法：将符合纳入标准的高位肛瘘患者(62例)随机分成两组,改良LIFT手术组31例,切缝挂线引流组31例。改良LIFT手术组和切缝挂线引流组分别行相应的手术治疗。观察两组手术操作时间；术后当天、第一次排便、第7、14天肛门疼痛情况；术后有无感染；伤口愈合时间；住院时间；住院费用；治疗效果；术后肛门功能指诊积分；肛门失禁功能评估；术后复发情况。结果：改良LIFT手术治疗高位肛瘘与切缝挂线引流术比较：1、术后疗效、术后感染、术后7、14天疼痛无差异；2、手术操作时间更长；3、住院时间短、住院费用低,患者术后前期疼痛轻、术后肛门失禁功能评估分值低、术后肛门指诊积分低、术后3月复发率低。结论：改良LIFT手术与传统切缝挂线引流术比较具有相同的临床疗效,且在术后肛门功能的保护、住院费用、住院时间等方面更具有优势,是一种经济、安全可靠的新术式。
[Abstract]:Objective: to observe and evaluate the clinical efficacy and safety of modified LIFT procedure in the treatment of high anal fistula. Methods: 62 patients with high anal fistula were randomly divided into two groups: modified LIFT operation group (31 cases) and suture drainage group (31 cases). The modified LIFT operation group and the suture and thread drainage group were treated respectively. The operation time of the two groups was observed, the first defecation day, 714 days anal pain, postoperative infection, wound healing time, hospitalization cost, treatment effect, postoperative anal function index score; Evaluation of anal incontinence and recurrence after operation. Results: the treatment of high anal fistula with modified LIFT operation was compared with that of sew and sew drainage. There was no difference in postoperative effect and infection. There was no significant difference in postoperative pain between 7 and 14 days after operation. The operation time was longer, the hospitalization time was shorter, the hospitalization cost was low, and the patients had mild pain in the early stage of operation. The evaluation score of anal incontinence after operation was low, the score of anal finger diagnosis was low, and the recurrence rate was low 3 months after operation. Conclusion: the modified LIFT operation has the same clinical curative effect as the traditional sew and thread drainage, and it has more advantages in the protection of anal function, hospitalization cost and hospitalization time after operation. It is an economical, safe and reliable new operation method.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.16

【相似文献】