猪脱细胞膀胱基质填充治疗肛瘘的初步研究:一项单中心队列研究。

IF 1.6 4区 医学 Q3 SURGERY
Xiang Ma, Weisong Xue, Zuolin Zhou, Qiong He, Feng Yang, Ningchao Du, Jun Sun, Huiwen Ning, NiNi Liu, Ying Luo, Jian Cai
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引用次数: 0

摘要

目的:初步评价新型生物材料猪脱细胞膀胱基质(PABM)填充瘘管束的效果。背景资料概述:生物材料制成的肛瘘塞(AFPs)用于填充瘘管,促进组织愈合,防止常规手术引起的肛门括约肌损伤。方法:本单中心横断面研究评估了2023年5月至2024年5月间PABM-AFP治疗肛瘘的效果。28例确诊为肛瘘的患者行PABM-AFP填充术,术后随访6-12个月。结果:总成功率89.3%,所有治疗的瘘有效率为90.6%。在治疗失败的三名患者中,两名患者在接受结扎治疗后康复,其余患有克罗恩病的患者部分痊愈。平均愈合时间5周,平均随访时间7个月。无不良并发症报道。结论:PABM-AFP治疗肛瘘是一种安全有效的治疗方法。本研究为支持PABM-AFP的临床应用提供了有价值的初步数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Pilot Study of Porcine Acellular Bladder Matrix Filling in the Treatment of Anal Fistulas: A Single-Center Cohort Study.

Objective: This study aimed to preliminarily assess the effectiveness of a novel biomaterial, porcine acellular bladder matrix (PABM), in filling fistula tracts.

Summary of background data: Anal fistula plugs (AFPs) made from biomaterials are designed to fill fistulas, promote tissue healing, and prevent anal sphincter damage caused by conventional surgeries.

Methods: This single-center cross-sectional study evaluated PABM-AFP treatment for anal fistulas between May 2023 and May 2024. Twenty-eight patients diagnosed with anal fistulas underwent PABM-AFP filling, with follow-up conducted for 6-12 months postoperatively.

Results: The overall success rate was 89.3%, with an efficacy rate of 90.6% for all treated fistulas. Of the three patients who experienced treatment failure, two recovered after receiving thread-ligating treatment, and the remaining patient who had Crohn's disease experienced partial healing. The mean healing time was 5 weeks, and the average follow-up duration was 7 months. No adverse complications were reported.

Conclusions: PABM-AFP is a promising, safe, and effective treatment option for anal fistulas. This study provides valuable preliminary data to support the clinical use of PABM-AFP.

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来源期刊
ANZ Journal of Surgery
ANZ Journal of Surgery 医学-外科
CiteScore
2.50
自引率
11.80%
发文量
720
审稿时长
2 months
期刊介绍: ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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