修改过的弗格森瘤切除术用于II-IV级,其复发率和并发症率较低:一项回顾性队列研究
Run-Yi Geng1,2, Lu Yin1, Yong-Qing Cao1
1Department of Anorectal Surgery, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Frontiers in medicine
|January 28, 2026
概括
经过修改的弗格森瘤切除术 (MFH) 对提供了比米利根-摩根瘤切除术 (MMH) 更好的治疗结果. MFH导致复发率降低,愈合速度更快,患者满意度更高,使其成为优越的外科选择.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术技巧 手术技巧
- 治疗出血疾病的治疗方法
背景情况:
- 出血疾病影响了人口的很大一部分.
- 像米利根-摩根瘤切除术 (MMH) 这样的传统手术选择已经确立了疗效,但可能与并发症和复发有关.
- 评估替代技术对于改善患者治疗结果至关重要.
研究的目的:
- 为了比较修改的弗格森瘤切除术 (MFH) 与传统的米利根-摩根瘤切除术 (MMH) 的疗效和安全性,用于治疗II-IV级.
- 评估长期结果,包括复发率,愈合时间和患者满意度.
主要方法:
- 一项回顾性队列研究,涉及515名在2020年9月至2021年8月期间接受MFH或MMH的患者.
- 主要结局包括至少24个月后的愈合时间和复发率.
- 二级结局包括症状得分,术后并发症,患者满意度和生活质量.
主要成果:
- 与MMH相比,MFH表现出明显较低的复发率 (1.2%对5.0%,p=0.013) 和优越的无复发存活率.
- 接受MFH的患者经历了较短的愈合时间 (26.3天 vs 30.9天,p<0.001) 和更高的患者满意度 (p=0.002).
- 多发性风与手术后胀的减少有关,但尿的发病率较高;在任何一组中都没有观察到门狭窄或便失禁.
结论:
- 修改的弗格森瘤切除术 (MFH) 是治疗II-IV级的安全有效的手术选择.
- 与米利根-摩根瘤切除术 (MMH) 相比,MFH提供了优势,包括更低的复发率,更快的愈合速度和更好的患者满意度.
- 这些发现支持MFH作为管理复杂病的首选技术.
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