[1]马磊刘广余张丹丹马洪新.应用一次性分解式软质注射探针行内口黏膜缝合治疗高位单纯性肛瘘[J].中国微创外科杂志,2025,01(4):249-252.
　Ma Lei,Liu Guangyu,Zhang Dandan,et al.Application of Disposable Detachable Soft Injection Probe for Internal Mucosal Suturing in the Treatment of High Simple Anal Fistula[J].Chinese Journal of Minimally Invasive Surgery,2025,01(4):249-252.
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应用一次性分解式软质注射探针行内口黏膜缝合治疗高位单纯性肛瘘()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2025年4期
页码:
249-252
栏目:
技术改良
出版日期:
2025-04-25

文章信息/Info

Title:
Application of Disposable Detachable Soft Injection Probe for Internal Mucosal Suturing in the Treatment of High Simple Anal Fistula
作者:
马磊刘广余张丹丹马洪新
(枣庄市立第四医院外科，枣庄277599)
Author(s):
Ma Lei;  Liu Guangyu;  Zhang Dandan;  et al.
Department of Surgery, Zaozhuang Municipal Fourth Hospital, Zaozhuang 277599, China
关键词:
肛瘘内口黏膜缝合; 高位单纯性肛瘘
Keywords:
Mucosal suturing of the internal orifice; High simple anal fistula
文献标志码:
B
摘要:
目的观察应用专利产品一次性分解式软质注射探针(disposable detachable soft injection probe，简称DDSI探针)行肛瘘内口黏膜缝合治疗高位单纯性肛瘘的效果。方法选取2020年1月~2023年12月高位单纯性肛瘘12例，应用DDSI探针精准定位肛瘘内口，剔除瘘管，缝合内口黏膜。观察术中内口探查时间，术后第1、3、7日疼痛视觉模拟量表(Visual Analogue Scale，VAS)评分，术后1个月Wexner失禁评分，术后12个月复发情况。结果内口探查时间2~5 min，平均3.2 min。疼痛VAS评分术后第1日0分2例，1分4例，2分5例，3分1例；术后第3日0分2例，1分9例，2分1例；术后第7日0分9例，1分3例。术后1个月Wexner失禁评分0分10例，1分2例。治愈11例，1例术后12个月诊断肛瘘复发。结论DDSI探针探查内口行瘘管剔除、内口黏膜缝合治疗高位单纯性肛瘘，疗效满意。
Abstract:
ObjectiveTo observe the therapeutic effect of a patented disposable detachable soft injection probe (DDSI probe) for mucosal suturing of the internal orifice in the treatment of high simple anal fistula.MethodsFrom January 2020 to December 2023, 12 cases of high simple anal fistula were selected. The DDSI probe was used to accurately locate the internal orifice of the anal fistula. The fistula tract was excised, and the mucosa of the internal orifice was sutured. The time for internal orifice exploration during surgery, Visual Analogue Scale (VAS) scores for pain at 1, 3, and 7 d postoperatively, Wexner incontinence scores at 1 month postoperatively, and recurrence rate at 12 months postoperatively were observed.ResultsThe time for internal orifice exploration ranged 2-5 min, with an average of 3.2 min. On postoperative day 1, the VAS scores were 0 in 2 cases, 1 in 4 cases, 2 in 5 cases, and 3 in 1 case. On postoperative day 3, the VAS scores were 0 in 2 cases, 1 in 9 cases, and 2 in 1 case. On postoperative day 7, the VAS scores were 0 in 9 cases and 1 in 3 cases. At 1 month postoperatively, the Wexner incontinence scores were 0 in 10 cases and 1 in 2 cases. Eleven cases were cured, and 1 case recurred (diagnosed at 12 months after surgery).ConclusionThe DDSI probe for internal orifice exploration, combined with fistula tract excision and mucosal suturing of the internal orifice, shows satisfactory therapeutic effects in the treatment of high simple anal fistula.

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更新日期/Last Update: 2025-06-17