部分瘘管切开联合肛瘘栓填塞治疗括约肌上型肛瘘的临床疗效观察

doi:10.3969/j.issn.1671-7171.2018.01.019

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Abstract 【Objective】To investigate the clinical effect of partial fistula incision combined with anal fistula embolization in the treatment of sphincter type Ⅰ anal fistula.【Methods】From December 2013 to October 2016, 58 patients with sphincter type Ⅰ anal fistula in Beijing Erlonglu Hospital were randomly divided into the control group and the study group, with 29 cases in each group. Patients in the control group were treated with sphincter fistula ligation and patients in the study group were treated with partial fistula incision combined with anal fistula. Postoperative related indicators (scar area, wound healing time, pain duration, length of hospital stay) were measured, as well as the incidence of complications one month after surgery, anus function indexes (anal resting pressure, rectal resting pressure, anal maximum systolic pressure) pre-operatively and on the first day post-operation, and anal incontinence score (Wexner) and pain score (VAS) on the 1st and 7th day postoperation. The measurements were statistically compared between the two groups.【Results】The scar area, the time of wound healing, pain duration and the length of hospital stay in the study group were less than those in the control group, the differences were statistically significant (P <0.05); There were no significant differences in the anal resting pressure, rectal resting pressure, anal maximum systolic pressure between the two groups before operation (P>0.05), while these measurements in the study group after operation were significantly higher than those in the control group (P<0.05). The Wexner score of the two groups before operation showed no significant difference (P>0.05); however, the Wexner score on the first day after operation and VAS scores on the 1st and 7th day after operation in the study group were significantly lower than those in the control group (P<0.05). The incidence of complications in the study group 3.45% (1/29), which was lower than that in the control group (27.58%, 8/29); the difference was statistically significant (P<0.05).【Conclusion】Treatment of sphincter type Ⅰ anal fistula using partial fistula incision combined with anal fistula embolization shows better clinical effect with less trauma and pain after surgery. It does not affect the anus function greatly and has much less complications.

Key words： Anal Canal Rectal Fistula/SU Embolization, Therapeutic Treatment Outcome

Received: 21 April 2017

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R657.16

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.01.019 OR http://www.jcr.net.cn/EN/Y2018/V35/I1/62

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