Clinical efficacy of modified ligation of the fistula tract in treatment of simple transsphincteric anal fistula
10.3969/j.issn.1005-6483.2018.04.010
- VernacularTitle:改良括约肌瘘管结扎术治疗单纯性经括约肌型肛瘘的临床疗效观察
- Author:
Yan FU
1
;
Heng LI
Author Information
1. 442000,湖北省十堰市太和医院(湖北医药学院附属医院)普外科
- Keywords:
simple transsphincteric anal fistula;
ligation of the intersphincteric fistula tract;
clinic efficacy
- From:
Journal of Clinical Surgery
2018;26(4):273-276
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of modified ligation of the fistula tract (LIFT)in the treatment of simple transsphincteric anal fistula.Methods 92 patients with a clinical diag-nosis of simple transsphincteric anal fistula were enrolled into the research.According to the random num-ber table patients divided into the modified group(46 cases)and the normal group(46 cases)randomly. Operation time,postoperative pain score,postoperative hospitalization time,healing time and healing rate in two groups were compared,Wexner anal incontinence scores and anorectal manometry 3 months after operation were analyzed to evaluated anal function.Results All patients were followed up for 3 ~26 months,average(8.73 ± 7.15)months.Comparing with operation time,hospitalization time,postoperative pain score 24 h after operation,hospital stay had no significantly different between the two groups(all P>0.05).The healing time had significantly different between the modified group[(10.14 ± 2.57)d]with the normal group[(23.87 ± 4.68)d](P<0.05);The healing rate in modified group was(91.2%)sig-nificantly higher thanin normal group(71.7%)(P<0.05).By the Wexner anal incontinence scores and anorectal manometry 3 months after operation were not significantly different(P>0.05).Conclusion Modified LIFT is a safe technique with a high healing rate and a shorter healing time,in the treatment of simple transsphincteric anal fistula,modified LIFT procedures should be considered.
