Observation of the clinical efficacy of disposable fistula snares in the treatment of high anal fistula
[Objectives] To observe the clinical efficacy of disposable fistula snares in the treatment of high anal fistula. [Methods] A total of 60 patients with high anal fistula admitted to the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from October 2022 to October 2023...
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| Main Authors: | , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2024-08-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=305&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F |
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| Summary: | [Objectives] To observe the clinical efficacy of disposable fistula snares in the treatment of high anal fistula. [Methods] A total of 60 patients with high anal fistula admitted to the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from October 2022 to October 2023 were selected as the study subjects, and they were divided into treatment group (n=30, treated with disposable fistula snares) and control group (n=30, treated with low-cut and high-hanging) according to the random number table method. The clinical efficacy, time of rubber band or elastic line shedding, operation time, wound healing time, pain level[visual analogue scale (VAS)], anal function [Wexner anal incontinence score, anal resting pressure (ARP) and anal maximal contraction pressure (AMCP)] before and 3 months after surgery and recurrence were observed and recorded in the two groups. [Results] There were no significant differences in the total effective rate (100% vs. 90%), time of rubber band or elastic line shedding, and recurrence rate (3.33% vs. 10%) between the two groups (P>0.05). The operation time and wound healing time of the treatment group were shorter than those of the control group (P<0.05). There was no significant difference in VAS score between the two groups on the first day after operation (P>0.05). On the 7th day after surgery, the VAS scores of both groups were decreased, and the VAS scores of the treatment group were lower than those of the control group (P<0.05). Before surgery, there was no significant difference in Wexner anal incontinence score, ARP and AMCP between the two groups (P>0.05). At 3 months after surgery, the Wexner anal incontinence score in both groups was higher than that before surgery, and the ARP and AMCP were lower than those before surgery (P<0.05). The Wexner anal incontinence score in the treatment group was lower than that in the control group, and the ARP and AMCP were higher than those in the control group (P<0.05). [Conclusion] The use of disposable fistula snares for the treatment of high anal fistula can maintain the fine function of the anus, protect the function of the anal sphincter, reduce complications such as “keyhole-like” deformity of the anus, facilitate the tightening process, reduce the pain of postoperative tightening of the thread, and have certain clinical promotion and application value. |
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| ISSN: | 1674-0491 |