保留括约肌手术治疗肛瘘的疗效分析

Analysis of the Curative Effect of Sphincter Preservation Operation in the Treatment of Anal Fistula

目的探讨保留括约肌手术治疗肛瘘的临床疗效与安全性。方法以2015年1月—2017年7月我院肛肠科收治的64例肛瘘患者为研究对象,全部患者均以保留括约肌手术进行治疗,回顾性分析患者临床资料,观察患者疗效及基本治疗指标,统计并发症及复发率。结果患者治疗显效61例,有效3例,总有效率100.0%。创面平均愈合时间(17.2±1.4)天,并发症发生率为1.56%,复发率为3.13%。结论保留括约肌手术治疗肛瘘效果确切,能有效保留患者的肛门自制功能,并发症少,复发率低,应用安全有效。

Objective To investigate the clinical efficacy and safety ofsphincter preservation operation in the treatment of anal fstula. Methods From January 2015 to July 2017, 64 cases of anal fistula treated in the anorectal department of our hospital were studied. All patients were treated with retained sphincter surgery and the clinical data of the patients were analyzed retrospectively. The patient＇s curative effect and basic therapeutic index were observed, and the complications and recurrence rate were statistically analyzed. Results 61 patients were excellent, 3 cases were effective, the total effective rate was 100%. The average healing time of the wound was （17.2 ± 1.4） days, the incidence of complications was 1.56%, and the recurrence rate was 3.13%. Conclusion Sphincter preserving surgery is effective in treating anal fstula. It can effectively retain the anal function of patients, with fewer complications and recurrence rate, is safe and effective .