经括约肌间瘘管结扎术与传统肛瘘切开术治疗低位单纯性肛瘘的临床疗效比较  

Comparison of clinical efficacy between ligation of intersphincteric fistula and traditional anal fistula incision in the treatment of low simple anal fistula

作　　者：杨世磊 Yang Shiei(Proctology Department of Donghai County Traditional Chinese Medicine Hospital in Lianyungang City,Jiangsu Lianyungang 222399,China)

机构地区：[1]连云港市东海县中医院肛肠科,江苏连云港222399

出　　处：《临床普外科电子杂志》2024年第1期46-49,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨经括约肌间瘘管结扎(ligation of intersphincteric fistula tract,LIFT)术治疗低位单纯性肛瘘的临床疗效。方法选取2020年2月至2023年2月连云港市东海县中医院收治的低位单纯性肛瘘患者46例。采用随机数字表法分为对照组和观察组,各23例。对照组采用传统肛瘘切开术,观察组采用LIFT术,比较两组患者的临床疗效及术后恢复情况。结果两组患者总有效率无显著差异(P=0.310)。观察组患者创面愈合时间、住院时长均短于对照组,视觉模拟评分法评分低于对照组,差异均有显著性(P<0.05)。两组患者术前肛门失禁Wexner评分无显著差异,术后1个月、术后3个月,观察组患者肛门失禁Wexner评分均较对照组低,差异有显著性(P<0.05)。结论LIFT术治疗低位单纯性肛瘘,能够在一定程度上减轻患者痛苦,保留患者括约肌功能,患者恢复更快。Objective To explore the clinical efficacy of ligation of intersphincteric fistula tract in the treatment of low simple anal fistula.Method 46 patients with low simple anal fistula admitted to Donghai County Traditional Chinese Medicine Hospital in Lianyungang City from February 2020 to February 2023 were selected.Divided into a control group and an observation group using a random number table method,with 23 cases in each group.The control group underwent traditional anal fistula incision surgery,while the observation group underwent LIFT surgery.The clinical efficacy and postoperative recovery of the two groups of patients were compared.Result There was no significant difference in the total effective rate between the two groups(P=0.310).The wound healing time and hospitalization duration of the observation group were shorter than those of the control group,and the VAS score was lower than that of the control group,with significant differences(P<0.05).There was no significant difference in preoperative anal incontinence Wexner scores between the two groups of patients.After 1 month and 3 months of surgery,the observation group had lower anal incontinence Wexner scores than the control group,and the difference was significant(P<0.05).Conclusion The treatment of low position simple anal fistula with LIFT surgery can alleviate patient pain to a certain extent,preserve the function of the patient's sphincter,and lead to faster recovery.

关 键 词：低位 单纯性肛瘘 经括约肌间瘘管结扎术 

分 类 号：R65[医药卫生—外科学]