High horseshoe shaped anal fistula
Conditions
Interventions
Traditional debridement and dressing change:Traditional debridement and dressing change plus traditional Chinese medicine sitz bath
Simple dressing change:Simple dressing change plus Chinese medicine sitz bath
Postoperative antibiotic application:Use clinical antibiotics and traditional Chinese medicine sitz bath
No antibiotics after surgery:Traditional Chinese medicine sitz bath, no antibiotics for one week after surgery
Sponsors
China-Japan Friendship Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age >=18 years old and <=65 years old; 2.Patients voluntarily participated in clinical trials, all signed informed consent, and were able to cooperate with clinical follow-up; 3.Patients clinically diagnosed with high horseshoe anal fistula (in line with Parks diagnostic criteria) affect daily life and work, and internal conservative treatment is ineffective; 4. Imaging diagnosis supports the diagnosis of high horseshoe anal fistula, and surgical treatment is proposed. If you meet 1+3 or 4 or 3,4, you can be included
Exclusion criteria
Exclusion criteria: 1. High horseshoe anal fistula caused by trauma; 2. Patients with acute infection or focal infection control is poor, requiring a long course of antibiotics or upgraded antibiotics; 3. doctors determine that other medical history affects anal function; 4. With other diseases: uncontrollable diabetes, uncontrolled malignant tumors, intestinal tuberculosis, Crohn's disease, AIDS; 5. Patients with severe heart, lung, liver, kidney and nervous system diseases; 6.Women who are pregnant or planning to become pregnant and women who are breastfeeding; 7. A variety of antibiotic allergy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Long term follow-up recurrence rate;Postoperative wound healing rate;Postoperative fistula healing rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative fever ;The incidence of adverse events;Visual Analogue Scale, VAS;Time for the wound to heal completely;Serum CRP changes;Wound secretion;Wound edema;Granulation morphology;Wound depth;Duration of each dressing change;Serum leukocyte change;Serum neutrophil changes; | — |
Countries
China
Contacts
Public ContactZheng Lihua
China-Japan Friendship Hospital
Outcome results
None listed