结直肠肛门外科2024，Vol.30Issue(2)：208-211,4.DOI:10.19668/j.cnki.issn1674-0491.2024.02.014
经肛括约肌间切开术治疗高位括约肌间型肛瘘和括约肌上型肛瘘的临床疗效观察
Observation of the clinical effectiveness of transanal opening of the intersphincteric space in the treatment of high intersphincteric anal fistula and suprasphincteric anal fistula
摘要
Abstract
Objectives To investigate the clinical effectiveness of transanal opening of the intersphincteric space(TROPIS)in the treatment of high intersphincteric anal fistula and suprasphincteric anal fistula.Methods A total of 124 patients with high intersphincteric anal fistula and suprasphincteric anal fistula who underwent surgical treatment at the Depart-ment of Anorectal Surgery,Xuzhou Central Hospital from September 2021 to June 2023 were selected as the study sub-jects.The observation group(receiving TROPIS)and the control group(receiving incision-thread-drawing)had 62 cases each.The clinical effectiveness(total effective rate),surgical indicators(operation time,hospital stay,wound healing time),pain levels[visual analog scale(VAS)pain scores]on the 1st and 7th day after surgery,and anal function(Wexner incontinence score)at 3 months after surgery were compared between the two groups.Results The total effective rate was 95.2%(59/62)in the observation group and 91.9%(57/62)in the control group,with no statistically significant dif-ference between the two groups(P＞0.05).The operation time in the observation group was longer than that in the con-trol group,while the hospital stay and wound healing time were shorter than those in the control group,with statisti-cally significant differences(P＜0.05).On the 1st and 7th day after surgery,the VAS pain scores in the observation group were lower than that in the control group,with statistically significant differences(P＜0.05).At 3 months after surgery,the Wexner incontinence score in the observation group was 0(0,1),which was lower than that in the control group 1(0,3),with a statistically significant difference(P＜0.05).Conclusion TROPIS has a good clinical effectiveness in the treatment of high intersphincteric anal fistula and suprasphincteric anal fistula.Compared with incision-thread-drawing,TROPIS has less surgical trauma,less postoperative pain,and faster patient recovery.关键词
高位括约肌间型肛瘘/括约肌上型肛瘘/经肛括约肌间切开术/切开挂线术Key words
high intersphincteric anal fistula/suprasphincteric anal fistula/transanal opening of the intersphincteric space/incision-thread-drawing分类
医药卫生引用本文复制引用
黄路桥,李姗姗,杨勇,孟庆良,梁春晖,潘冬,孙尚颖,谢光伟,张正国..经肛括约肌间切开术治疗高位括约肌间型肛瘘和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):208-211,4.基金项目
徐州市科学技术局社会发展项目(KC21245) （KC21245）
