Abstract:

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.

Key words: Low position, Simple anal fistula, Ligation of intersphincteric fistula tract