Chen Yiping,Cai Rongping,Zhou Xiaoyu,et al.Curative efficacy of thread hanging therapy for infantile anal fistula and its prognostic effect[J].Journal of Clinical Pediatric Surgery,,19():636-640.[doi:10.3969/j.issn.1671-6353.2020.07.015]
Curative efficacy of thread hanging therapy for infantile anal fistula and its prognostic effect
- Keywords:
- Rectal Fistula; Thread-Ligating Therapy; Treatment Outcome; Prognosis; Infant
- CLC:
- R729;R657.1+6;R242
- Abstract:
- Objective To explore the clinical efficacy of thread hanging therapy of traditional Chinese medicine (TCM) in the treatment of infantile anal fistula.Methods From January 2014 to December 2015,a total of 100 infants with anal fistula were recruited and divided via a random number table into study group (n=50) and control group (n=50).The control group underwent conventional incision,drainage and debridement while the study group received thread hanging therapy of TCM.Results The score of the longest contraction time of anal canal (flacc) was significantly lower in study group than that in control group and defecation was significantly better than that in control group (P<0.05).The total effective rate was significantly higher in study group than that in control group (96% vs. 78%,P<0.05).The improvements of such anorectal motility parameters as rectal venous pressure (RRP,2.31±0.13 kPa),anal venous pressure (ARP,13.02±0.24 kPa),anal maximum systolic pressure (AMCP,14.02±2.42 kPa) and alct (38.06±2.81 s) were significantly better in study group than those in control group (P<0.05).During a follow-up period of 3 years,no significant inter-group difference existed in defecation control function and there was no leakage of air or liquid.Conclusion Thread hanging therapy of TCM may effectively improve anorectal motility of infants with anal fistula.With an excellent clinical efficacy,it is worth further popularizing.
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Memo
收稿日期:2019-12-30。
基金项目:佛山市科学技术局立项课题（编号：2017AB002871）
作者简介:陈一平,Email:3100187562@qq.com