肛瘘栓微创植入封堵术治疗经括约肌肛瘘16例疗效观察

Anal Fistula Plug Mini-invasive Implantation Closure in the Treatment of Tanssphincter Anal Fistula:Effect Observation on 16 Cases

目的:探讨肛瘘栓微创植入封堵术治疗经括约肌肛瘘的临床效果。方法:将本院收治的32例经括约肌肛瘘患者随机分为治疗组和对照组,治疗组采用肛瘘栓微创植入封堵术治疗,对照组采用低位切开高位挂线术治疗。观察比较2组血清肌红蛋白水平、平均创面面积、疼痛、肛门坠胀和肛门失禁等情况。结果:术后1、4、7和14d,治疗组血清肌红蛋白水平和平均创面面积均优于对照组(P <0.05),疼痛和肛门失禁评分低于对照组(P <0.05),肛门坠胀和创面渗血消失时间短于对照组。结论:肛瘘栓微创植入封堵术治疗单纯经括约肌肛瘘,手术损伤小,患者痛苦轻,能最大限度地保护肛门括约肌功能,促进组织愈合,减少术区瘢痕形成,避免肛门组织缺损。

Objective To investigate the clinical effect of anal fistula plug(AFP)mini-invasive implantation closure in the treatment of tanssphincter anal fistula(TSAF).Methods Randomly divided 32TSAF patients treated in authors’ hospital into treatment group(16cases,received above procedure)and control group(16cases,low incision & high thread-drawing procedure),and compared both group’s serum myoprotein level,average wound-surface area,pain,and bearing-down & swell,and anal incontinence status,etc.Results At 1,4,7and 14days after surgery,in serum myoprotein level and average wound-surface area treatment group was all superior to control group(P <0.05);in the score ratings on pain and anal incontinence,lower than control group(P <0.05);in the time for anal bearing-down &swell and woundsurface staxis disappeared,shorter than control group(P <0.05).Conclusion For simple TSAF AFP mini-invasive implantation closure has such merits as little trauma,slight pain of patients,protecting analsphincter’s function at the max.limit,promoting tissue healing,reducing scar of operation area,and avoiding anal tissue injured.