high anal fistula
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. It conforms to the diagnostic criteria of high anal fistula in China Expert Consensus on the Diagnosis and Treatment of Anal Fistula (2020 edition) formulated by the Clinical Guidelines Working Committee of Anorectal Physician Branch of Chinese Medical Association, and the lesions involve > 30% of external sphincter. 2. Patients who have not received surgical treatment after rectal ultrasound or pelvic MR plain scan, or who only underwent incision and drainage at the initial perianal abscess stage. 3. Age =18, male or female. 4. According to Wexner score, anal function is normal. 5. Have the ability to understand Chinese and agree to participate in this research.
Exclusion criteria
Exclusion criteria: 1. Pre-operative impaired anal self-control, or those who had undergone radical surgery at the time of initial perianal abscess incision and drainage. 2. Other infectious diseases and associated enteritis (including concomitant perianal abscess, inflammatory bowel disease, anal canalitis, Crohn's disease, etc.). 3. Pregnant or lactating women, combined with diabetes mellitus, connective tissue disease or related metabolic diseases, without heart, lung, liver, kidney diseases and hemolytic diseases 4. patients with intellectual or mental disorders. 5. patients who are participating in other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cure rate;changes of anal function;patient satisfaction; | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of surgery;at discharge;intraoperative blood loss;pain score;complications; | — |
Countries
China
Contacts
Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine