改良括约肌间瘘管结扎术治疗经括约肌型肛瘘

被引：43

作者：

崔金杰

王振军

郑毅

韩加刚

杨新庆

机构：

[1] 首都医科大学附属北京朝阳医院普通外科

来源：

中华胃肠外科杂志 | 2012年 / 12期

关键词：

经括约肌型肛瘘; 括约肌间瘘管结扎术; 肛瘘填塞术; 生物材料; 治疗效果;

D O I：

暂无

中图分类号：

R657.1 [直肠和肛门];

学科分类号：

100201 [内科学];

摘要：

目的探讨改良括约肌间瘘管结扎术(LIFT-plug术式)治疗经括约肌型肛瘘的疗效及安全性。方法回顾性分析2010年11月至2012年2月间在北京朝阳医院接受LIFT-plug术治疗的36例经括约肌型慢性肛瘘患者的临床资料。结果 36例患者中34例(94.4%)痊愈。手术时间12～35(平均17)min,中位术后住院时间5 d,创面中位愈合时间18 d,术后未出现肛门失禁和其他严重并发症。所有患者均接受了至少3个月的随访,2例(5.6%)复发。结论 LIFT-plug术式操作简单、治愈率高、创伤小、愈合快,不影响肛门功能,是一种针对经括约肌型肛瘘较理想的方法。

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共 12 条

[1]

Anal fistula plug is a valid alternative option for the treatment of complex anal fistula in the long term [J].

Lenisa, Leonardo ;

Espin-Basany, Eloy ;

Rusconi, Andrea ;

Mascheroni, Luigi ;

Escoll-Rufino, Jordi ;

Lozoya-Trujillo, Roberto ;

Vallribera-Valls, Francesc ;

Megevand, Jacques .

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2010, 25 (12) :1487-1493

[2]

Long-Term Outcomes With the Use of Bioprosthetic Plugs for the Management of Complex Anal Fistulas [J].

Ellis, C. Neal ;

Rostas, Jack W. ;

Greiner, Francis G. .

DISEASES OF THE COLON & RECTUM, 2010, 53 (05) :798-802

[3]

Ligation of the Intersphincteric Fistula Tract (LIFT): A Sphincter-Saving Technique for Fistula-in-Ano [J].

Shanwani, A. ;

Nor, Azmi M. ;

Amri, Nil .

DISEASES OF THE COLON & RECTUM, 2010, 53 (01) :39-42

[4]

Ligation of the Intersphincteric Fistula Tract: An Effective New Technique for Complex Fistulas [J].

Bleier, Joshua I. S. ;

Moloo, Husein ;

Goldberg, Stanley M. .

DISEASES OF THE COLON & RECTUM, 2010, 53 (01) :43-46

[5]

Surgical Treatment of Complex Anal Fistulas with the Anal Fistula Plug: A Prospective, Multicenter Study [J].

Schwandner, Thilo ;

Roblick, Michael H. ;

Kierer, Walter ;

Brom, Armand ;

Padberg, Winfried ;

Hirschburger, Markus .

DISEASES OF THE COLON & RECTUM, 2009, 52 (09) :1578-1583

[6]

Practice parameters for the treatment of perianal abscess and fistula-in-ano (Revised) [J].

Whitfford, MH ;

Kilkenny, J ;

Hyman, N ;

Buie, WD ;

Cohen, J ;

Orsay, C ;

Dunn, G ;

Perry, WB ;

Ellis, CN ;

Rakinic, J ;

Gregorcyk, S ;

Shellito, P ;

Nelson, R ;

Tiandra, JJ ;

Newstead, G .

DISEASES OF THE COLON & RECTUM, 2005, 48 (07) :1337-1342

[7]

Efficacy of fibrin sealant in the management of complex anal fistula - A prospective trial [J].

Buchanan, GN ;

Bartram, CI ;

Phillips, RKS ;

Gould, SWT ;

Halligan, S ;

Rockall, TA ;

Sibbons, P ;

Cohen, RG .

DISEASES OF THE COLON & RECTUM, 2003, 46 (09) :1167-1174

[8]

The cutting seton - An experience at King Faisal Specialist Hospital [J].

Isbister, WH ;

Al Sanea, N .

DISEASES OF THE COLON & RECTUM, 2001, 44 (05) :722-727

[9]

Repair of fistulas-in-ano using fibrin adhesive - Long-term follow-up [J].

Cintron, JR ;

Park, JJ ;

Orsay, CP ;

Pearl, RK ;

Nelson, RL ;

Sone, JH ;

Song, R ;

Abcarian, H .

DISEASES OF THE COLON & RECTUM, 2000, 43 (07) :944-949

[10]

AUTOLOGOUS FIBRIN GLUE IN THE TREATMENT OF RECTOVAGINAL AND COMPLEX FISTULAS [J].

ABEL, ME ;

CHIU, YSY ;

RUSSELL, TR ;

VOLPE, PA .

DISEASES OF THE COLON & RECTUM, 1993, 36 (05) :447-449