肛瘘切除术与保留括约肌瘘管结扎术治疗肛瘘的疗效观察

Clinical Efficacy of Anal Fistulectomy and Sphincter-Preserving Fistula Ligation in Treatment of Anal Fistula

目的:探讨比较肛瘘切除术与保留括约肌瘘管结扎术治疗肛瘘的临床疗效。方法:选择2020年6月至2022年6月,本院收治的56例肛瘘患者,随机分为观察组和对照组,每组各28例。观察组采用保留括约肌瘘管结扎术治疗,对照组实施肛瘘切除术治疗。对比2组近期及远期疗效、各手术指标及肛门功能情况。结果:观察组临床总有效率达96.43%,高于对照组的71.43%(P<0.05)。观察组并发症发生率为7.14%,低于对照组的28.57%(P<0.05),肛门功能评分为(0.38±0.06)分,优于对照组的(0.81±0.13)分(P<0.05)。结论:保留括约肌瘘管结扎术治疗肛瘘疗效优于传统肛瘘切除术,且可减少并发症,改善肛门功能,值得临床推广应用。

Objective To compare the clinical efficacy of anal fistulectomy and sphincter-preserving fistu-la ligation in the treatment of anal fistula.Methods Total 56 patients with anal fistula admitted to our hospital from June 2020 to June 2022 were randomly divided into observation group and control group,with 28 cases in each group.The observation group was treated with sphincter-preserving fistula ligation,while the control group was treated with anal fistulectomy.The short-term and long-term efficacy,surgical inde-xes and anal function were compared between the two groups.Results The total effective rate was 96.43%in the observation group,which was higher than 71.43%in the control group(P<0.05).The complication rate was 7.14%in the observation group,which was lower than 28.57%in the control group(P<0.05).The anal function score was(0.38±0.06)points in the observation group,which was better than(0.81±0.13)points in the control group(P<0.05).Conclusion Sphincter-preserving fistula ligation is better than traditional anal fistulectomy in the treatment of anal fistula,and can reduce complica-tions and improve anal function,which is worthy of clinical promotion and application.