不同入路LIFT手术治疗低位括约肌间瘘的临床研究

Clinical Study on the Low Intersphincteric Fistula Treated with LIFT via Different Approaches

为探讨不同入路括约肌间瘘管结扎术（LIFT）治疗低位括约肌间瘘的临床效果,将2012年10月至2015年6月于我科拟行LIFT治疗的30例低位括约肌间瘘患者随机分为A组和B组,各15例.A组经括约肌间沟入路进行手术,B组经外括约肌皮下部入路进行手术.对比2组手术指标及复发率.结果表明,2组在手术时间、切口深度、术后疼痛程度、切口感染率、切口处成瘘率、术后6个月复发率等方面差异均无统计学意义,P〉0.05.结果表明,经括约肌间沟入路与经外括约肌皮下部入路行LIFT均安全有效,无明显差异.

This study was to explore the clinical effects of LIFT（ligation of intersphincteric fistula tract） via different approaches for treating low intersphincteric fistula, randomly divided 30 patients subject to LIFT in authorg department from Oct. 2012 to June 2015 into group A and B,15 cases for each;for group A, via intersphincteric groove performing surgery, meanwhile for group B, via subcutaneous approach of ex- ternal sphincter so dol then both groups＂ operative indicator＇s and recurrence rate were compared. As results, in operative time, incision depth, postoperative pain degree, wound infection rate and fistula formation rate on the wound,as well as the recurrence rate at 6 months after surgery etc,there was all no statistical difference（ P 〉0.05）.Results show that two approaches for performing LIFT are all safe and effective without obvious difference.