VAAFT术与传统切开挂线术治疗复杂肛瘘的回顾性分析

Retrospective analysis of VAAFT and traditional incision and thread-drawing in the treatment of complex anal fistula

目的:分析视频辅助肛瘘治疗术(VAAFT)与传统切开挂线术对复杂性肛瘘患者的治疗效果。方法:选取42例接受传统切开挂线术的患者纳入对照组,40例接受VAAFT的患者纳入研究组。比较两组手术及术后恢复情况。结果:研究组患者手术及术后恢复情况、术后初次排便情况显著优于对照组(P均<0.05);两组术后4周、8周、12周时,随着恢复时间的延长,其VAS评分、Wexner评分明显降低,且研究组显著低于对照组(P均<0.05);研究组术后4周内的并发症发生率显著低于对照组(P<0.05)。结论:VAAFT对治疗复杂性肛瘘患者有良好的应用效果。

Objective:To analyze the effectiveness of VAAFT versus conventional incision and hanging in patients with complex anal fistula.Methods:Forty-two patients who underwent conventional incisional hanging were selected to be included in the control group and 40 patients who underwent VAAFT were included in the study group.The surgical and postoperative recovery of the two groups were compared.Results:The patients in the study group had significantly better surgical and postoperative recovery and first postoperative bowel movement than the control group(both P<0.05);their VAS scores and Wexner scores were significantly lower in both groups at 4,8,and 12 weeks postoperatively as the recovery time increased,and the study group was significantly lower than the control group(both P<0.05);the complication rate in the study group was significantly lower than the control group at 4 weeks postoperatively(P<0.05).Conclusion:VAAFT has a good application effect in the treatment of patients with complex anal fistula.