结直肠肛门外科2024，Vol.30Issue(2)：202-207,6.DOI:10.19668/j.cnki.issn1674-0491.2024.02.013
肌间闭合联合全厚推移瓣技术治疗33例括约肌上型肛瘘的临床疗效观察
Observation on the clinical effectiveness of intermuscular suture combined with full-thickness advancement flap in the treatment of suprasphincteric anal fistula:a series of 33 cases
杨晓媛 1黄绍伶 1袁越文 1陈文平 1林婉林 1马巧玲 1张磊 1朱建东 1赵申 1杨丽敏 1马智腾1
作者信息
- 1. 西安大兴医院肛肠盆底外科 陕西西安 710016
- 折叠
摘要
Abstract
Objectives To investigate the clinical effectiveness of intermuscular suture combined with full-thickness ad-vancement flap in the treatment of suprasphincteric anal fistula.Methods A retrospective analysis was conducted on the clinical data of 33 patients with suprasphincteric anal fistula who underwent intermuscular suture combined with full-thickness advancement flap in our department from September 2020 to June 2023.The treatment outcomes(cure or treatment failure),disease-related information,anal function,and patient's satisfaction with surgical treatment were re-corded.Results All 33 patients successfully completed the surgery.Postoperative follow-up ranged from 90 to 1,095 days,with a median follow-up time of 210(90,840)days.A total of 29 patients achieved cure,while 4 patients had treatment failure.There were no significant differences in the history of abscess/anal fistula surgery,the presence of horseshoe anal fistula,the presence of fistula branches,or the presence of abscess between the cured patients and those with treatment failure(P＞0.05).The median preoperative Wexner incontinence score was 0(0,2)for all 33 pa-tients,which was significantly different from the corresponding score of 0(0,4)at 3 months postoperatively(P＜0.05).At the 3-month postoperative follow-up,31 patients expressed satisfaction with the surgical outcome,while 2 patients ex-pressed dissatisfaction.Conclusion The short-term clinical effectiveness of intermuscular suture combined with full-thickness advancement flap in the treatment of suprasphincteric anal fistula is good.关键词
括约肌上型肛瘘/括约肌保留术/推移瓣/肛门外括约肌复合体Key words
suprasphincteric anal fistula/sphincter-sparing surgery/advancement flap/external anal sphincter complex分类
医药卫生引用本文复制引用
杨晓媛,黄绍伶,袁越文,陈文平,林婉林,马巧玲,张磊,朱建东,赵申,杨丽敏,马智腾..肌间闭合联合全厚推移瓣技术治疗33例括约肌上型肛瘘的临床疗效观察[J].结直肠肛门外科,2024,30(2):202-207,6.
