经括约肌问瘘管结扎术治疗单纯性肛瘘60例疗效分析

Ligation of the Intersphincteric Fistula Tract in the Treatment of Simple Anal Fistula of 60 Cases

为探讨经括约肌间瘘管结扎术（LIFT）治疗单纯性肛瘘的临床疗效，对采用LIFT治疗的60例单纯性肛瘘患者（其中高位肛瘘26例，低位肛瘘34例）的临床疗效进行回顾性分析。结果显示，本组60例患者中，复发4例，均为高位肛瘘患者，其余56例均治愈。创面愈合时间为16～41d，平均26．4d。术后患者均无肛门失禁、肛门畸形及肛门狭窄等后遗症发生。结果表明，LIFT治疗单纯性肛瘘操作简单、安全可靠、治疗费用低，其成功率与其他保留肛门括约肌手术无明显差别，值得临床推广应用。

In order to investigate the clinical curative effect of ligation of the intersphincteric fistula tract （LIFT） in the treatment of simple anal fistula,authors retrospectively analyzed the clinical outcomes of 60 cases who had been subjected to LIFT,included 26 cases of high anal fistula and 34 cases of low anal fistula. As results,among the 60 cases 4 were all of high one,suffered from recurrence,rest 56 cases were all cured;healing time of wound furface was 16 41 days（averaged 26.4 days）;after surgery anal incontinence, anal malformation and stenosis,etc sequelae did not found. Results show that in the treatment of simple anal fistula LIFT is simple,safe,and of easily mastering and low treatment cost,its success rate is same as other sphincter-preserved procedure,thus it is worthy to be popularized to use.