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时间:2019-05-22
《手术治疗358例肛瘘的临床分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、河南外科学杂志2011年3月第17卷第2期HENANJOURNALOFSURGERYMar.201l,Vo].17,No.2·9·者龈沟液中IL一6的含量[J].华西医科大学学报,izedaggressiveperiodontitis[J].JPeriodontol,2001,722001,32(3):444—445.(11):1545.[3]KawashimaH,SatoS,KishidaM,eta1.Acomparisonof[5]GafenSL,HajishengallisG.ANewInflammatoryCytokinerootsurface
2、instrumentationusingtwopiezoelectricultra-ontheBlock:Re—thingkingPeriodontalDiseaseandthesonicsealersandahandscalerinvivo『J].JPeriodontalTh1/Th2ParadigmintheContextofThl7CellsandIL一Res,2007,42(1):90—95.17[J].DentRes,2008,87(9):817—828.[4]LiuRK,CaoCF,MengHX,eta1.Polymorphonuclear
3、neu-(收稿2011—01~21)trophilsandtheirmediatorsingingivaltissuesfromgeneral一手术治疗358例肛瘘的临床分析李红樊平史伟季恩敏安徽亳州市人民医院肛肠外科亳州236800【摘要】目的探讨不同类型肛瘘的最佳治疗方法。方法回顾总结358例不同类型肛瘘的治疗过程,低位肛瘘一次切除,高位肛瘘低位切开,高位挂实线,窦道(支管)挂浮线;科学有效的术后治疗。结果一次手术治愈324例,一次手术治愈率90.5%;二次手术治愈34例,13例为第一次手术病灶切除不完全,21例为手术后换药不妥而假愈合。结论不同类
4、型的肛瘘应采取不同的手术方式。一次切除病灶,正确处理内口,做好创口敞开引流,确保肛门功能,是一次手术治愈肛瘘的前提,手术后正确专科换药是治愈本病的重要环节。【关键词】肛瘘;手术【中图分类号】R657.16【文献标识码】A【文章编号】1007—8991(2011)02—0009~03Clinicalanalysisoncurativeeffectof358AnalFistulaOperationsLiHong,FanPing,ShiWei,JiEnmin.Depart.mentofColorectalSurgery,PeoplesHospitalofBo
5、zhouCity,Bozhou236800,China【Abstract】0bjectiveTostudythetreatmentofvarioustypesofanalfistula,toreducenumberofoperations,operationcompli—cationsandrecurrencerate.MethodsReviewed358casesofvarioustypesofanalfistulainclinic.resectioninone—stageforLowA—nalFistula,LowCuttingDrainagean
6、dHighThreadDrawingforHighAnalFistula,hangingfloatlineforbranchpipeofanalfistula,scientificandeficientmanagementwaysafteroperation.Results324cases(90.5%1werecuredupononeoperation.34easeswerecureduponsecondoperation.13casesoflesionexcisionincompletely.21casesoffalsewoundhealingbec
7、auseofimproperlydressingchange.ConclusionCorrectoperativemethodishelpfultoensuretheoperation,lesionexcisionupononeoperation,correctlyhandlingtheinternalfistulalesions,ensurethefunctionofanal,areprerequisitetocureanalfistulaupononeoperation,properlydressingehan—gingafteroperation
8、isanimportantlinktocureanalfistula.【KeyWords】An
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