The efficacy of anal fistula plug in fistula-in-ano: a systematic review.
作者： P. Garg , J. Song , A. Bhatia , H. Kalia , G. R. Menon
DOI: 10.1111/J.1463-1318.2009.01933.X
关键词:
摘要: Aims To assess the efficacy of anal fistula plug (AFP) procedure for treatment fistula-in-ano especially complex fistulas. Method The database PUBMED, MEDLINE, SCOPUS, EMBASE and COCHRANE LIBRARY period 1995–2009 was searched. A systematic analysis carried to evaluate success rate AFP in fistula-in-ano. Results total 25 studies were extracted 12 (n = 317) finally included review. follow-up ranged from 3.5 12 months. had a (patient cure rate) ranging 24% 92%. In prospective (8/12 studies), 35–87%. patients with Crohn’s disease 29–86%. single tracts 44–93% multiple tracts, 20% 71%. abscess formation/sepsis 4–29% (11/108) extrusion 4–41% (42/232–19%). Conclusion Anal has 92% different studies. fistula-in-ano, there moderate As is associated low morbidity sepsis, it appears be safe procedure. Further randomized controlled trials studying objective parameters healing are needed substantiate these findings.
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