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traditional chinese surgical treatment for anal fistulae with secondary tracks and abscess

World Journal of Gastroenterology 2012年第40期18卷 5702-5708页

作者： Chen Wang Jin-Gen Lu Yong-Qing Cao Yi-Bo Yao Xiu-Tian Guo Hao-Qiang Yin Department of Anorectal Surgery Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medi- cine Shanghai 200032 China Department of Imaging Longhua Hospital Af- filiated to Shanghai University of Traditional Chinese Medicine Shanghai 200032 China

AIM:To evaluate the efficacy and safety of traditional chinese surgical treatment for anal fistulae with secondary tracks and ***:Sixty patients with intersphincteric or transsphincteric anal fistulas with secondary tracks and abscess were randomly divided into study group [suture dragging combined with pad compression(SDPC)] and control group [fistulotomy(FSLT)].In the SDPC group,the internal opening was excised and incisions at external openings were made for *** sutures were put through every two incisions and knotted in loose *** suture dragging process started from the first day after surgery and the pad compression process started when all sutures were removed as wound tissue became fresh and without *** the FSLT group,the internal opening and all tracts were laid open and cleaned by normal saline postoperatively till all wounds *** time of healing,postoperative pain score(visual analogue scale),recurrence rate,patient satisfaction,incontinence evaluation and anorectal manometry before and after the treatment were ***:There were no significant differences between the two groups regarding age,gender and fistulae *** time of healing was significantly shorter(24.33 d in SDPC vs 31.57 d in FSLT,P treatment of intersphincter fistulae were 0.17 ± 0.41 in SDPC vs 0.40 ± 0.89 in FSLT and transsphincter fistulae were 0.13 ± 0.45 in SDPC vs 0.56 ± 1.35 in *** maximal squeeze pressure and resting pressure declined after treatment in both *** maximal anal

关键词： traditional chinese surgical treatment Su- ture dragging Pad compression Anal fistulae Second-ary tracks and abscess

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