[1]蒋晓雪,陆金根,王琛,等.手术联合中药治疗小儿肛瘘144例疗效观察[J].甘肃中医药大学学报,2020,37(01):95-97.[doi:10.16446/j.cnki.1001-1994.2020.01.022]
 JIANG Xiaoxue,LU Jingen,WANG Chen,et al.Efficacy observation on 144 cases of anal fistula in children treated by operation combined with Chinese materia medica[J].Journal of Gansu University of Chinese Medicine,2020,37(01):95-97.[doi:10.16446/j.cnki.1001-1994.2020.01.022]
点击复制

手术联合中药治疗小儿肛瘘144例疗效观察
分享到:

《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
37卷
期数:
2020年01期
页码:
95-97
栏目:
临床研究与报道
出版日期:
2020-02-25

文章信息/Info

Title:
Efficacy observation on 144 cases of anal fistula in children treated by operation combined with Chinese materia medica
作者:
蒋晓雪1 陆金根1 王琛1 郭修田2 李鹏2
1. 上海中医药大学附属龙华医院肛肠科, 上海 200032;
2. 上海中医药大学附属市中医院肛肠科, 上海 200071
Author(s):
JIANG Xiaoxue1 LU Jingen1 WANG Chen1 GUO Xiutian2 LI Peng2
1. Department of Anal and Intestines, Longhua Hospital Affiliated to Shanghai University of Chinese Medicine, Shanghai, 200032, China;
2. Department of Anal and Intestines, Hospital of TCM Affiliated to Shanghai University of Chinese Medicine, Shanghai, 200071, China
关键词:
小儿肛瘘手术中药一次性切开根治术拖线术挂线术疗效观察
Keywords:
anal fistula in childrenoperationChinese materia medicaone-time incision radical operationthread-dragging through fistula therapythread-drawing therapyefficacy observation
分类号:
R272.6
DOI:
10.16446/j.cnki.1001-1994.2020.01.022
摘要:
目的 观察手术联合中药治疗小儿肛瘘的临床疗效。方法 回顾性分析上海中医药大学附属龙华医院肛肠科2003年1月至2017年12月采用手术联合中药治疗的144例肛瘘住院患儿的临床资料,其中116例低位单纯性肛瘘患儿行一次性切开根治术,22例复杂性肛瘘患儿行拖线术,6例高位肛瘘患儿行挂线术。术后均予坐浴痔疾洗液熏洗及加味参苓白术散口服,治疗7~10 d。6个月后通过电话随访进行疗效判定。结果 治愈142例(占98.6%),好转2例(占1.4%),未愈0例,其中2例术后伤口未愈的患儿为高位肛瘘,经二次治疗后痊愈。术后无肛门失禁,排便功能异常,肛门畸形、狭窄等情况发生。结论 手术联合中药治疗小儿肛瘘疗效确切,可减少后遗症的发生,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of anal fistula in children treated by operation combined with Chinese materia medica. Methods A retrospective analysis was made of the clinical data of 144 hospitalized children with anal fistula who were treated by operation combined with Chinese materia medica from January 2003 to December 2017 in anal and intestines department of Longhua Hospital Affiliated to Shanghai University of Chinese medicine. Among them,116 children with simple low anal fistula underwent one-time incision radical operation,22 children with complex anal fistula underwent thread-dragging through fistula therapy,and 6 children with high anal fistula underwent thread-drawing therapy. After operation,they were given sitz bath of fumigation and washing of Zhiji Xiye(痔疾洗液) and oral administration of Jiawei Shenling Baizhu San(加味参苓白术散),with 7 to 10 days of treatment. Six months later,the curative effect was determined by telephone follow-up. Results Totally 142 cases were cured (accounting for 98.6%),2 cases were improved (accounting for 1.4%),0 cases were not cured. Among them,2 cases of unhealed wound after operation were high anal fistula,which recovered after se- cond therapy. There was no incontinence,abnormal function of defecation,deformity nor stricture of anus after operation. Conclusion It has definite curative effects to treat anal fistula in children by operation combined with Chinese materia medica,which reduces the occurrence of sequelae and deserves clinical promotion and application.

参考文献/References:

[1] 施诚仁,金先庆,李仲智.小儿外科学[M].北京:人民卫生出版社,2009:84.
[2] AL-Salem A H,Laing W,Talwalker V.Fistula-in-ano in infancy and childhood[J].J Pediatr Surg,1994,29(3):436-438.
[3] 梁珣.雄性激素在婴儿肛周脓肿发病中的作用及机制探讨[D]. 重庆:重庆医科大学,2013.
[4] Festen C,Harten H V.Perianal abscess and fistula-in-ano in infants[J].J Pediatr Surg,1998,33(5):711-713.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:55-56.
[6] 陆金根,曹永清,何春梅,等.隧道式拖线术治疗单纯性肛瘘的临床研究[J].中西医结合学报,2006,4(2):140-146.
[7] 赵宝明,张书信.大肠肛门病学[M].上海:第二军医大学出版社,2004:553.

相似文献/References:

[1]黄晖.Pilon骨折的手术治疗及并发症防治进展[J].甘肃中医药大学学报,2012,(02):68.
[2]钟羽丽,牛乾.丝裂霉素C配合中医疗法在翼状胬肉手术中的应用[J].甘肃中医药大学学报,2012,(04):48.
[3]王新平,易剑锋,赵春霖,等.后腹腔镜手术治疗泌尿外科上尿路疾病47例[J].甘肃中医药大学学报,2013,(03):56.
[4]杨光章.鼻内窥镜鼻腔、鼻窦手术治疗慢性鼻窦炎鼻息肉疗效观察[J].甘肃中医药大学学报,2011,(03):37.
[5]李婷婷,陈璐,苏志红.剖宫产术中行子宫肌瘤剔除术的安全性和可行性研究[J].甘肃中医药大学学报,2017,34(04):64.[doi:10.16841/j.issn1003-8450.2017.04.18]
[6]王金龙,张伟,崔连珉.外伤性腹腔破裂60例诊治体会[J].甘肃中医药大学学报,2004,(03):29.
[7]郭亮亮,张立强,鄢卫平.鄢卫平主任医师治疗外伤性截瘫经验[J].甘肃中医药大学学报,2019,36(02):16.[doi:10.16841/j.issn1003-8450.2019.02.04]
 GUO Liangliang,ZHANG Liqiang,YAN Weiping.Archiater YAN Weiping’s experience in the treatment of traumatic paraplegia[J].Journal of Gansu University of Chinese Medicine,2019,36(01):16.[doi:10.16841/j.issn1003-8450.2019.02.04]

备注/Memo

备注/Memo:
收稿日期:2018-09-17。
作者简介:蒋晓雪(1991-),女,住院医师,医学硕士。研究方向:中医药治疗痔、瘘、裂及便秘。
通信作者:王琛(1974-),女,主任医师,硕士生导师,医学博士。研究方向:肛肠良性疾病的防治。E-mail:1070741677@qq.com
更新日期/Last Update: 1900-01-01