经括约肌间瘘管结扎术治疗高位单纯性肛瘘的临床疗效及安全性分析

Clinical Efficacy and Safety Analysis of Transsphincteric Fistula Ligation in the Treatment of High Simple Anal Fistula

目的 分析经括约肌间瘘管结扎术在高位单纯性肛瘘治疗中的应用效果。方法 选取2019年3月—2021年3月该院收治的80例高位单纯性肛瘘患者为研究对象,通过随机数表法分组进行对照研究,对照组(n=40)采用高位肛瘘低切高挂术治疗,观察组(n=40)采用经括约肌间瘘管结扎术治疗,比较两组患者的临床疗效、手术指标、肛门生理指标、复发率、并发症发生率和生活质量。结果 观察组患者临床治疗总有效率(95.0%)高于对照组患者(75.0%),差异有统计学意义(χ^(2)=6.275,P<0.05);观察组手术指标较对照组更优,差异有统计学意义(P<0.05);观察组初始感觉阈值、肛管静息压、肛管高压带长度较对照组更优,差异有统计学意义(P<0.05);而两组肛管最大收缩压、直肠静息压对比,差异无统计学意义(P>0.05);观察组复发率较对照组更低,差异有统计学意义(P<0.05);观察组生活质量评分较对照组更高,差异有统计学意义(P<0.05)。结论高位单纯性肛瘘患者通过经括约肌间瘘管结扎术进行治疗,临床疗效及安全性确切。

Objective To analyze the application effect of transsphincteric fistula ligation in the treatment of high simple anal fistula.MethodsA total of 80 patients with high-grade simple anal fistula who were treated in the hospital from March 2019 to March 2021 were selected as the research objects,and grouped by random number table method for a controlled study,the control group(n=40) was treated with high-level anal fistula,and the observation group(n=40) was treated with transsphincteric fistula ligation.The clinical efficacy,surgical indicators,anal physiological indicators,recurrence rate,complication rate and quality of life were compared between the two groups.ResultsThe total effective rate of clinical treatment(95.0%) in the observation group was higher than that in the control group(75.0%),and the difference was statistically significant(χ~2=6.275,P0.05).The recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).ConclusionTranssphincteric fistula ligation can be used to treat patients with high simple anal fistula.The clinical efficacy and safety are definite.