改良括约肌间瘘管结扎术治疗经括约肌型肛瘘  

Ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug （LIFT-plug） in the treatment of transsphincteric perianal fistula

作　　者：崔金杰[1] 王振军[1] 郑毅[1] 韩加刚[1] 杨新庆[1] 

机构地区：[1]首都医科大学附属北京朝阳医院普通外科,100020

出　　处：《中华胃肠外科杂志》2012年第12期1232-1235,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：基金项目：新世纪百千万人才工程国家级项目（09-911-002,08-009）;国家自然科学基金（81141025）;北京市卫生系统领军人才（2009-1-03）;首都医学发展科研基金（2009-3109）

摘　　要：目的探讨改良括约肌间瘘管结扎术（Lwr-plug术式）治疗经括约肌型肛瘘的疗效及安全性。方法回顾性分析2010年11月至2012年2月间在北京朝阳医院接受LIFT—plug术治疗的36例经括约肌型慢性肛瘘患者的临床资料。结果36例患者中34例（94．4％）痊愈。手术时间12～35（平均17）min，中位术后住院时间5d，创面中位愈合时间18d，术后未出现肛门失禁和其他严重并发症。所有患者均接受了至少3个月的随访，2例（5．6％）复发。结论LIFT-plug术式操作简单、治愈率高、创伤小、愈合快，不影响肛门功能，是一种针对经括约肌型肛瘘较理想的方法。Objective To assess the treatment outcome of ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug （LIFT-plug） for transsphincteric perianal fistulas. Methods Clinical data of 36 patients with transsphincteric perianal fiftula who were managed by the LIFT-plug technique between November 2010 Results Clinical healing of the fistula, defined and February 2012 were analyzed retrospectively. as the absence of drainage with no evidence of residual fistula tract, occurred in 34 （94.4%） patients. The operative time ranged from 12 to 35 minutes （mean, 17 minutes）. The median postoperative length of stay was 5 days. The median healing time was 18 days. No complications requiring intervention occurred. The postoperative follow up was at least 3 months and two patients had recurrence （5.6%）. Conclusions LIFT-plug procedure for the management of transsphincteric perianal fistulas is simple with high healing rate, minimal invasiveness, quick healing, and without disturbance to anal function. LIFT-plug is an ideal procedure for intrasphinteric fistula.

关 键 词：经括约肌型肛瘘 括约肌间瘘管结扎术 肛瘘填塞术 生物材料 治疗效果 

分 类 号：R657.1[医药卫生—外科学]