Dissertation
Dissertation > Medicine, health > Chinese Medicine > Medicine surgery > Anal

The Clinical Research of Therapy for High Complex Fistula with Stealth Planning

Author ChuZhengDa
Tutor WangYeHuang
School Nanjing University of Traditional Chinese Medicine
Course Surgery of Chinese Medicine
Keywords Complex high anal fistula Sneak planing Treatment Surgery
CLC R266
Type Master's thesis
Year 2013
Downloads 21
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Objective:Observing the clinical efficacy of high complex anal fistula treatment with the comparison of the two surgical methods, Under the premise of hope to be able to ensure the function of the anal sphincter, Improving cure rate, Exploring a new surgery with features Such as effective and reliable, less pain, high security features to cure high complex anal fistula.Methods:30patients with high-type anal fistula as required are chosen and assigned into treatment group and control group, both of which has15patients. Treatment group are treated with Stealth planning; control group are treated with incision and drainage surgery. After the surgery, the efficacy of treatment, time of wound closure, pain scores, anal function evaluation, anal morphology, growth of granulation, wound secretion, recurrence rate in two groups are compared.Results:There’s no significant statistical difference (P>0.05) between treatment group and control group in age, gender, course, total efficacy, recurrence rate. After the surgery, there are significant difference (P<0.05) between two groups in length of stay and wound healing time, pain scores, anal incontinence score (Wexner);3and7days after surgery, there are significant difference (P<0.05) between two groups in Wound secretion,14days after surgery There’s no significant statistical difference (P>0.05) between treatment group and control group in Wound secretion.3and7days after surgery, there are significant difference (P<0.05) between two groups in Growth of granulation,14days after surgery There’s no significant statistical difference (P>0.05) between treatment group and control group in Growth of granulation.Conclusion:Sneak planing in the treatment of high complex anal fistula efficacy exact,with a small wound, less pain, faster recovery, protection of anal function and other advantages.

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