Method for treating fistula cases

FIELD: medicine.

SUBSTANCE: method involves treating corporal biologically active points of general, local and segmental action. Silver needles are introduced and left in the points for 60 min. Silver needles are additionally introduced into auricular acupuncture points. The auricular points are selected with fistulae locations taken into consideration. The needles are left in the auricular points for 30 min. A gold needle is introduced into fistula cavity along the whole its length.

EFFECT: enhanced effectiveness of treatment; prolonged remission time.

4 cl

 

The invention relates to medicine and can be used in surgery in the treatment of fistula.

Hiss (fistula) is a narrow channel lined by granulation or the epithelium and connecting the body cavity or smash of deep tissue with the body surface. It can also be used to connect the hollow body. The causes of fistula can be inflammation, foreign body, tumor, trauma, developmental threshold, malnutrition tissues. From the reasons that caused the fistula depends on the nature of his discharge: purulent, tissue destruction, the secret of the body, the contents of the hollow body (urine, bile, intestinal contents, and others).

Known difficulties in the treatment of fistula.

Surgical treatment often leads to excessive tissue trauma and is not always effective: the excision of the inner course of the fistula, often leads to a shortage of fabrics and healing by second intention and, in consequence, to the frequent recurrence of the fistula, and often after failed surgical treatment of new fistulas (Userability and other “Moccisan fistulas, M., 1986).

There are various conservative methods of treatment of intestinal fistula. So for the treatment of colonic fistula using local ultrasonic treatment through medication tomized with local antibacterial and immunostimulating action is receiving (Gerasimov A.A. and others, “Use of ultrasonic cavitation in the complex treatment of intestinal fistula of small diameter”, “proceedings of the VI all-Russian Congress of surgeons”, Voronezh, 1983, S. 225-226). However, this method is used in the treatment of intestinal fistula of small diameter and in terms of the existence of the fistula is not more than 2 months ago, its efficiency is 63%. This method can be selected as a prototype.

The proposed method for the treatment of fistulas based on the use of ancient Chinese method of acupuncture, which has proven effective in cases where other conservative and operative methods of treatment have been unsuccessful. The impact of needles on certain so-called biological active acupuncture point has a variety of complex effects on the whole body, and directly on the affected area. The mechanism of action on the organism of acupuncture to date not fully understood and is not disclosed. Influencing different types of needles to specific points and areas you can achieve effects on various systems of the body, leading to complete cure of a disease.

We have developed a method of influence gold and silver needles, providing both local and General effects on the body, which allowed us to use the th in the treatment of fistula of different origin, old appearance.

The proposed method is simple in execution, excludes surgical treatment, effective, increases the duration of remission for up to five years or more.

The method is as follows. On corporeal point tonic, local and segmental actions affect silver needle, introducing them and leaving points on 60 minutes. At the symmetric point acupuncture influence needles, introducing them to both the symmetric point.

In some cases conduct additional impact on auricular points (AP) acupuncture ear silver needles that enter and leave in 30 minutes.

Local effect in the following way. The outer mouth of the fistulous course cut away the silver needle, introducing them in the amount of from 3 to 30. In the cavity fistula for all its length introduces a Golden needle. Local impact exercise, leaving entered as around the mouth of the fistulous course and into the cavity fistula needle for 60 minutes.

Throughout the course of treatment to 12 daily procedures. To obtain a stable therapeutic effect was performed 2-3 treatments with an interval between them in 15 days.

Way of the following examples.

Example 1. Patient EOL, 37 years old, came with complaints of persistent discharge from the perineum Muco-purulent character with a fecal odor. With Itay yourself sick about 4 years, when in the process of childbirth was a rupture of the perineum. After surgery, the suturing of the perineum formed rectal fecal fistula. Often treated with conservative methods, but to no avail. Was surgical excision of the fistula, which was not effective. As a result of failed surgical treatment of the fistula had anticipated, and additionally produced a new the fistulous passage connecting with the main.

From the proposed 3rd surgery the patient refused.

Objectively: the skin is clean, pale pink, light - vesicular breathing, heart sounds clean, rhythmic, heart rate of 74 beats per minute, BP 140/85 mm Hg, the abdomen is soft, painless on palpation, stool and urination are normal.

St.lokalis: In the perineal region, ANO-rectal area determined by the two outer mouth of the fistulous passages, when hard palpation, which appear allocation Muco-purulent character with a fecal odor. The diameter of the outer mouth of the first and second fistulous course about 1.5 and 2 mm, respectively.

With additional research fistulous passages with the aid of a surgical probe revealed: first fistulous course, length 3 cm, has a linear orientation and directly through the inner estuary associated with the rectum, the length of the second fistulous course 2 cm also has Lin is you direction and connected to the first main fistulous course in the middle of the distances of the outer and inner estuaries. From x-ray - fistulografii the patient refused.

On the basis of complaints, anamnesis of life and disease, data of additional methods of research exhibited clinical diagnosis: external rectal perineal kapitalizirovana fecal fistula.

The treatment by the proposed method.

Session 1. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: GI (II)4Hae-GU, E. (III)36Zu-San-Li, E (III)34Liang-Qiu, J (XIV)3Zong-JI, J (XIV)4Guan-Yuan. Impact silver needle on the auricular point AR (X)56(the cavity of the pelvis, cervix) for 30 minutes.

Locally impacted by entering a Golden needle in the cavity of each of the fistulous passages throughout its length. And the outer mouth of the fistulous passages were alkaliphiles silver needles 5 needles in each mouth. The needles were left in a field for 60 minutes.

Session 2. On corporeal point tonic, local and segmental actions affect silver needles 60 min: MS (IX)6Nei-Guan, RP (IV)6San-Yin-Jiao, R (VIII)10Yin-GU, J (XIV)6Qi-Hai R (VIII)11Han-Se. Impact silver needle on auricular points AR (X)58(sexual, uterus) for 30 minutes.

Locally impacted by entering into the cavity of each Svishchev the th stroke the entire length of one of the Golden needle. And the outer mouth of the fistulous passages were cut away all silver needles, 6 needles in each mouth. The needles were left in a field for 60 minutes.

Session 3. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: R (VIII)13Qi-Xue, GI (II)4Hae-GU, RP (IV)6San-Yin-Jiao, R (VIII)15Zhong-Zhu. Impact silver needle on auricular points AR (X)56(the cavity of the pelvis, cervix) for 30 minutes.

Locally impacted by entering into the cavity of each active stroke the entire length of one of the Golden needle. And the outer mouth of the fistulous passages were cut away all silver needles 3 needles in each mouth. The needles were left in a field for 60 minutes.

Throughout the course of treatment there were 12 of similar sessions. Conducted 3 treatment with an interval of 15 days.

After completion of treatment the patient had no complaints. Objectively: the skin is clean, pale pink, light vesicular breathing, heart sounds clean, rhythmic, pulse rate 70 beats per minute, BP 130/80 mm Hg, the abdomen is soft, painless on palpation, stool and urination are normal.

St.lokalis: In the perineal region in the ANO-rectal area are determined by a two point scar diameter of less than 0.5 mm, well-considered magnifying glass with 10x magnification. When hard palpation allocation no. Ds:well. the status of the patient have been traced for 5 years. Disease recurrence was not detected.

Example 2. Patient SNL, 45 years old, came with complaints of persistent allocation slimy nature of the suture on the anterior abdominal wall. Considers himself ill about 2 years. After being stabbed was way surgery. Postoperative wound a long time did not heal, healing by second intention, formed outer gastric fistula. Long conservative and two subsequent surgical treatment gave no results.

Objectively: the right physique, giperstenichesky Constitution, low power. Skin and visible mucous regular color. In the lungs the breath vesicularia. Heart sounds rhythmic and clean. Ps 74 beats per minute, good quality. HELL 130/80 mm Hg Belly hard painful to palpation. Stool and urination are normal.

St.lokalis: anterior abdominal wall moderately deformed due to the rough scar adhesions on the white line of the abdomen, on the post-surgical incision. In the upper third of 3 cm below the xiphoid process is defined by the outer mouth of the fistulous course with a diameter up to 25 mm, with hard palpation of the outer estuary is allocated serous-purulent discharge with a characteristic sour smell of gastric contents. The skin around the external mouth of the fistula maseribane. When additionally the m study fistulografii revealed gastric fistula linear direction connecting the stump of the stomach to the anterior abdominal wall. The length of the fistulous course 3 see Additional moves and branches are not detected.

On the basis of complaints, anamnesis, additional methods study exhibited clinical diagnosis: postoperative, gubbey gastric fistula.

The treatment by the proposed method.

Session 1. On corporeal point tonic, local and segmental actions affect silver needles 60 min: MS (IX)6Nei-Guan, RP(IV)6San-Yin-Jiao, R(VIII)10Yin-GU, J(XIV)16Zhong-tin, RU39Huynh-Above RS40Heng-Wen.

Locally wrought gold needle introduced into the cavity fistulous stroke the entire length. The outer mouth of the fistulous passage was alkaliphiles silver needles 10 needles. The needles were left in a field for 60 minutes.

Session 2. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: R (VIII)13Qi-Xue, GI (II)4Hae-GU, RP(IV)6San-Yin-Jiao, R (VIII)15Zhong-Zhu, J(XIV)12Zhong-WAN, RS42Jing-Zhong, RS43Wai Si-Manh.

Locally wrought gold needle introduced into the cavity fistulous stroke the entire length. The outer mouth of the fistulous passage was alkaliphiles silver eagle 8 highly left in the field for 60 minutes.

Session 3. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: GI (II)4Hae-GU, E. (III)36Zu-San-Li, E (III)34Liang-Qiu, J(XIV)11Jian-Li, J(XIV)13Shang WAN, RS45And-Czyn.

Wrought gold needle introduced into the cavity fistulous stroke the entire length. The outer mouth of the fistulous passage was alkaliphiles silver eagle 12 needles. The needles were left in a field for 60 minutes.

Throughout the course of treatment there were 12 of similar sessions. Conducted 3 treatment with an interval of 15 days.

After treatment patient no complaints.

Objectively: the right physique, giperstenichesky the Constitution, the normal power supply. Skin and visible mucous regular color. In the lungs - vesicular breathing. Heart sounds rhythmic and clean. Ps 74 beats per minute good qualities. HELL 120/80 mm Hg Abdomen is soft, painless on palpation. Stool and urination are normal.

St.lokalis: anterior abdominal wall moderately deformed due to scarring, adhesions on the front line of the abdomen on the post-surgical incision. In the upper third of 3 cm below the xiphoid process is determined by the point the scar formation on the place outside the mouth of the fistulous course. When hard palpation discharge could not be detected.

Ds: Polop the operating scar of the anterior abdominal wall.

The patient was tracked for 5 years. Disease recurrence was not detected.

Example 3. Patient PAW, 22 years old, has complained of persistent discharge from the perineum slimy character with an unpleasant odor.

Considers himself sick about 2 years after the injury occurred rupture of the perineum. After surgery, the suturing of the perineum formed vaginal mucopurulent fistula. Conservative treatment is not effective. Was surgical excision of the fistula, which was successful. However, after 3 months came recurrence of the fistula.

Objectively: the skin is clean, pale pink, light vesicular breathing, heart sounds clean, rhythmic, pulse 72 beats per minute, BP 115/70 mm Hg, the abdomen is soft, painless on palpation, stool and urination are normal.

St.lokalis: In the perineal region “two hours on the dial” is defined by the outer mouth of the fistulous course, when hard palpation which there is a selection of Muco-purulent character with a putrid odor. The diameter of the outer mouth of the fistulous course about 2 mm.

With additional research fistulous course with the aid of a surgical probe revealed: fistulous course has a linear direction and is connected with the cavity of the vagina in its lower third. From an x-ray studied the I - fistulografii the patient refused.

On the basis of complaints, anamnesis of life and disease, data of additional methods of research exhibited clinical diagnosis: outer vaginal-perineal kapitalizirovana Muco-purulent fistula.

The treatment by the proposed method.

Session 1. On corporeal point tonic, local and segmental actions affect silver needles 60 min: MS (IX)6Nei-Guan, RP(IV)6San-Yin-Jiao, R(VIII)10Yin-GU, J(XIV)6Qi-Hai R(VIII)11Han-Se. Additionally influenced auricular points: AR (X)56(the cavity of the pelvis, cervix), AR (X)58(sexual, uterus) for 30 minutes.

Locally wrought gold needle introduced into the cavity fistulous stroke the entire length. And the outer mouth of the fistulous passage was alkaliphiles silver eagle 8 needles. The needles were left in a field for 60 minutes.

Session 2. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: R (VIII)13Qi-Xue, GI (II)4Hae-GU, RP(IV)6San-Yin-Jiao, R (VIII)15Zhong-Zhu.

Locally wrought gold needle introduced into the cavity fistulous stroke the entire length. The outer mouth of the fistulous passage was alkaliphiles silver needles 10 needles. The needles were left in a field for 60 minutes.

Seans. On corporeal point tonic, local and segmental actions affect silver needles 60 minutes: GI (II)4Hae-GU, E. (III)36Zu-San-Li, E (III)34Liang-Qiu, J(XIV)3Zong-JI, J(XIV)4, Guan-Yuan. Impact silver needle in the point AR (X)56(the cavity of the pelvis, cervix) for 30 minutes.

Locally wrought gold needle introduced into the cavity fistulous stroke the entire length. The outer mouth of the fistulous passage was alkaliphiles silver needles 10 needles. The needles were left in a field for 60 minutes.

Throughout the course of treatment there were 12 of similar sessions.

Conducted 3 treatment with an interval of 15 days. After treatment patient no complaints.

Objectively: the skin is clean, pale pink, light vesicular breathing, heart sounds clean, rhythmic, pulse 72 beats per minute, BP 115/70 mm Hg, the abdomen is soft, painless on palpation, stool and urination are normal.

St.lokalis: In the perineal region “two hours on the dial” is defined spot scar formation of character, well-defined when viewed through a magnifying glass with a 10-fold increase. When hard palpation discharge is not detected.

Ds: well. The patient's condition has been traced for 5 years. Disease recurrence was not detected.

The proposed method treated 55 Bollnas different types of fistula and the duration of their existence from 3 months up to 3-4 years. Depending on the obtained results was carried out 2-3 courses of treatment. 52 patients showed complete healing of the fistula. In two patients, the fistula which was due to the operative treatment of cancer, the treatment was ineffective.

Thus, our proposed method of treatment of fistula allows to exclude surgical treatment, and hence its complications, is effective in the treatment of fistula of different etiology and duration, and the duration of remission is from 2 to 5 years.

1. A method of treatment of fistula, including local impacts, characterized in that corporeal acupuncture points tonic, local and segmental actions affect silver needles, entering and leaving them in dots per 60 min, and the local impact of the conduct on the outer mouth of the fistulous course, alkalima his silver needle in the cavity of the fistula to the entire length of his enter the Golden needle, the needle is left for 60 min, the treatment includes 12 daily sessions, spend 2-3 treatments with an interval between them in 15 days.

2. The method according to claim 1, characterized in that the outer mouth of the fistulous course cut away the silver needle in the amount of from 3 to 30.

3. The method according to claim 1, characterized in that the conduct additional impact on auricular points (AP) ear acupuncture Raco the ins, impact silver needles enter and leave them at points 30 minutes

4. The method according to claims 1, 3, characterized in that at the symmetric point acupuncture influence needles, introducing them to both points.



 

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