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題名 | Ligation of Intersphincteric Fistula Tract (LIFT) for Anal Fistula and Abscess: A Single Surgeon Experience=治療肛門瘻管和膿瘍之括約肌間瘻管(LIFT)結紮術:單一外科醫生經驗 |
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作者姓名(中文) | 林威廷; 林博文; 吳俊賢; 詹仁豪; 林劭潔; 李政昌; 陳柏全; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 29:2 2018.06[民107.06] |
頁次 | 頁106-113 |
分類號 | 416.245 |
關鍵詞 | 經括約肌間瘻管結紮術; 肛門瘻管; 肛門膿瘍; Ligation of intersphincteric fistula tract; Anal fistula; Anal abscess; |
語文 | 英文(English) |
中文摘要 | 目的:從回溯性研究去分析括約肌間瘻管結紮術治療肛門瘻管和膿瘍的成果。方法:從2013年5月到2017年10月,收集所有肛門瘻管或膿瘍而接受括約肌間瘻管結紮術的個案,進行回顧性的分析。總共有91個肛門瘻管和膿瘍的病人,在門診或急診安排下接受手術。將所有病人資料、病人合併症和術後數據收集做統計。結果:總共收集91個病人進行分析。一共有77個肛門瘻管進行了LIFT手術;有20個肛門膿瘍進行了LIFT手術。最主要的肛門瘻管類型是低位穿括約肌型廔管(52.5%)。肛門膿瘍的平均手術時間明顯高於肛門瘻管(50分鐘對比35分鐘,p < 0.05)。在4.2周的平均追蹤時間裡,LIFT手術的初步癒合率是92.8%。而總體復發率為17.5%。結論:無論是治療肛門瘻管或膿瘍,LIFT手術都是相當安全且有效的。我們醫院的成果證實了LIFT手術的低復發率和高初步癒合率。 |
英文摘要 | Purpose. The purpose of our study here was to present a retrospective review of our experience of LIFT procedure in the treatment of anal fistula or abscess. Methods. A retrospective review of patients who underwent the LIFT procedure for anal fistula or abscess from May 2013 to October 2017 was performed. A total of 91 patients with anal fistula or anal abscess were treated under elective or emergency settings by one colorectal surgeon. Patients' demographic data, comorbidities, and follow-up data were collected for analysis. Results. A total of 77 LIFT procedures for anal fistula and 20 LIFT procedures for anal abscess were analyzed. The most frequent type of anal fistula was low transsphincteric fistula (52.5%). The operation time for anal abscess is significantly higher than that for anal fistula (50 minutes versus 35 minutes, p < 0.05). The overall primary healing rate of LIFT procedure was 92.8% at a median follow-up of 4.2 weeks. The recurrence rate of our study was 17.5%. Conclusions. For treatment of anal fistula or abscess, LIFT procedure is safe and effective. Low recurrence rate and high primary healing rate were proven in our study. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。