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环丙沙星(Ciprofloxacin,Cip)对革兰阳性(G-)及阴性(G-)致病菌具有抗菌活性。高效,广谱作用。用其作成纱条用于肛瘘术后换药,抗菌止血效果明显,特别对一些耐药菌株抗菌效果较强。纱条与组织不粘连,无刺激,现报告如下。1临床资料 223例肛瘘患者,发病为一周至20年。男性20P例,女性14例,年龄10月～58岁,平均32例。根据全国肛肠外科会泌(1P75)统一标准分类法:①低位单纯性肛瘘128例;②低位复杂性肛瘘48例;③高位肛瘘32例;④高位复杂性肛瘘15例。均有不同程度感染。2治疗方法2.1 环丙沙星纱条的配制:取环丙沙星2g,注射用水加至500ml.浸湿180g纱条,再取医用白凡士林360g,放入大号饭盒内,烊化烧沸灭菌,当温度冷却到60℃,放入浸湿过的纱条,待冷却后即可使用。2.2经配对,将病号分为两组。每组术前术后(换药2次均进行细菌培养。①治疗组123例术后术口内填塞
Ciprofloxacin (Cip) has antibacterial activity against Gram-positive (G-) and negative (G-) pathogenic bacteria. Efficient, broad-spectrum effect. Its made of gauze dressing for anal fistula, antibacterial hemostatic effect is obvious, especially for some antibacterial strains strong antibacterial effect. Sliver and tissue adhesion, no stimulation, are as follows. A clinical data of 223 cases of anal fistula, the incidence of one week to 20 years. Male 20P cases, 14 females, aged 10 months to 58 years, an average of 32 cases. According to the National Department of Anorectal Surgery will be secreted (1P75) uniform standard classification: ① low simple anal fistula 128 cases; ② low complex anal fistula 48 cases; ③ high fistula 32 cases; ④ high complex anal fistula in 15 cases. All have different levels of infection. 2 treatment 2.1 ciprofloxacin gauze preparation: Take ciprofloxacin 2g, water for injection to 500ml. Soak 180g gauze, and then take the medical white petrolatum 360g, into the large lunch box, boil boiling Sterilization, when the temperature is cooled to 60 ℃, into wet gauze, to be used after cooling. 2.2 Paired, the disease is divided into two groups. Each group of preoperative and postoperative (dressing 2 were bacterial culture .① treatment group, 123 cases of postoperative oral filling