Abstract:
Objective To explore the clinical effect of outside moved endostoma dragging method treating anal fistula.
Methods One-hundred patients with anal fistula were randomly divided into treatment group and control group, 50 cases in each group. The control group were treated with incision-thread-drawing method while the treatment group were treated with outside moved endostoma dragging method.Compared postoperative efficacy of the two groups.
Results Forty-eight hours, 72 hours and 1 week postoperative pain score in the treatment group were better than that of control group (t=-10.3623、-11.3022、-11.4253, P<0.05); Length of hospital stay, wound healing time and 1 year postoperative recurrence rates in the treatment group was better than that of the control group (t=-4.9627、-13.1454、5.005, P<0.05); Total effective rate of the treatment group (98%) was slightly higher than that of the control group (96%), there was no statistically significant difference (Χ2=0.344, P>0.05).
Conclusion The outside moved endostoma dragging method in the treatment of anal fistula, does not increase the recurrence rate, has the advantages of little injury, pain, quick recovery and minimally invasive. It is an ideal minimally invasive treatment for anal fistula.
Key words:
Surgical procedures, minimally invasive,
Anal fistula,
Outside moved endostoma,
Thread dragging,
Surgical incision healing,
Recurrence
Dianwen Wu, Huanqing Fa, Xuedong Zhang. Clinical observations of 100 patients with anal fistula treated with outside moved endostoma dragging method and incision-thread-drawing method[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(04): 324-326.