改良经括约肌间瘘管结扎术治疗经括约肌型肛瘘的临床疗效观察

临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (2): 19-.

改良经括约肌间瘘管结扎术治疗经括约肌型肛瘘的临床疗效观察

江门市中心医院中山大学附属江门医院胃肠外科，广东江门 529000

出版日期:2021-04-01 发布日期:2021-07-14
基金资助:
江门市医疗卫生领域科技计划项目（2019020200050000723）；江门市基础与应用基础研究类重点项目（201903010

2420012926）

Clinical observation of modified ligation of the sphincteric fistula tract in the treatment of sphincteric perianal fistula

Department of Gastrointestinal Surgery, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529000, Guangdong

Online:2021-04-01 Published:2021-07-14

摘要/Abstract

摘要：

目的探讨改良经括约肌间瘘管结扎术(ligation of intersphincteric fistula tract,LIFT）治疗经括约肌型肛瘘的临床疗效。方法选取江门市中心医院胃肠外科100 例经括约肌型肛瘘患者，随机分为观察组（n=50）及对照组（n=50），分别行改良LIFT 手术、常规肛瘘切除及挂线术。比较两组病例手术耗时、手术出血量、术后疼痛持续时间、住院时间、切口愈合时间、肛门功能、肛门形态及肛瘘复发率。结果观察组患者在手术耗时、手术出血量、术后疼痛持续时间、切口愈合时间、肛门功能及肛门形态方面，结果均优于对照组，差异具有显著性（P<0.05），但两组患者住院时间及肛瘘复发率，差异无显著性（P>0.05）。结论对比常规肛瘘切除及挂线术，改良LIFT 术治疗经括约肌型肛瘘具有良好的临床效果。

关键词: 经括约肌型肛瘘, 经括约肌间瘘管结扎术, 疗效

Abstract:

Objective To investigate the clinical effect of modified ligation of the sphincteric fistula tract (LIFT) in the treatment of sphincter anal fistula. Methods According to the random number table, patients with perianal horseshoe abscess were randomly divided into two groups, the experimental group (by modified LIFT ) 50 cases and the control group (by classic operation) 50 cases. The operation

time, intraoperative blood loss, duration of the postoperative pain, hospital stay, healing time of surgical incision, anal function, anal morphology and recurrence rate of two groups were recorded and analyzed. Results The observation group was better than the control group in operation time, operation blood loss, postoperative pain duration, incision healing time, anal function and anal morphology, the difference wassignificant (P<0.05), but there was no significant difference in hospital stay and anal fistula recurrence

rate between the two groups (P>0.05). Conclusion Compared with the classic operation, it has good clinical effect to treat sphincteric perianal fistula through modified LIFT.

Key words: Sphincteric perianal fistula, Ligation of the sphincteric fistula tract, Treatment effect

何耀明, 王成兴, 梁伟俊, 赵景林. 改良经括约肌间瘘管结扎术治疗经括约肌型肛瘘的临床疗效观察 [J]. 临床普外科电子杂志, 2021, 9(2): 19-.

HE Yaoming, WANG Chengxing, LIANG Weijun, ZHAO Jinglin. Clinical observation of modified ligation of the sphincteric fistula tract in the treatment of sphincteric perianal fistula [J]. Journal of General Surgery for Clinicians, 2021, 9(2): 19-.

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