摘要
目的:分析经括约肌间瘘管结扎术(LIFT)治疗经括约肌肛瘘的临床疗效。方法:选取2019年1月至2022年1月,本院收治的76例经括约肌肛瘘患者,随机分为观察组和对照组各38例。对照组采用传统肛瘘切开挂线术治疗,观察组应用LIFT术治疗,观察2组术后疼痛、创面愈合时间、术后肛门功能以及临床疗效等。结果:观察组术后疼痛评分、肛门失禁评分、术后并发症及住院时间均优于对照组,差异有统计学意义(P<0.05);而2组临床总有效率比较,差异无统计学意义(P>0.05)。结论:采用LIFT术治疗经括约肌肛瘘临床疗效肯定,且手术创伤小,术后疼痛轻,恢复快,尤其在保护肛门功能方面具有优势,值得临床推广。
Objective To analyze the clinical efficacy of ligation of intersphincteric fistula tract(LIFT)in the treatment of trans-sphincteric anal fistula.Methods From January 2019 to January 2022,total 76 patients with trans-sphincteric anal fistula admitted to our hospital were selected and randomly divided into the observation group and the control group,with 38 cases in each group.The control group was treated with traditional anal fistula incision and thread-ligating therapy,and the observation group was treated with LIFT.The postoperative pain,wound healing time,postoperative anal function and clinical efficacy of both groups were observed.Results The postoperative pain score,anal incontinence score,postoperative complications and hospitalization time in the observation group were better than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in the total effective rate between the two groups(P>0.05).Conclusion LIFT has positive clinical efficacy in the treatment of trans-sphincteric anal fistula,with little surgical trauma,light postoperative pain and quick recovery.LIFT has advantages in protecting anal function and is worthy of clinical promotion.
作者
吴文宗
吴双美
廖星明
赖道鹏
谢思鹏
WU Wen-zong;WU Shuang-mei;LIAO Xing-ming;LAI Dao-peng;XIE Si-peng(Fifth Clinical College of Fujian University of Traditional Chinese Medicine/Sanming Second Hospital,Yongan,Fujian 366000)
出处
《中国肛肠病杂志》
2024年第3期27-29,共3页
Chinese Journal of Coloproctology
关键词
肛瘘
括约肌间瘘管结扎术
疗效
Anal fistula
Ligation of intersphincteric fistula tract
Efficacy
