肛瘘传统手术方式和LIFT术式术后疗效评价

目的 评价传统手术方式和LIFT术式治疗肛瘘的临床疗效.方法 将我院收治的60例肛瘘患者随机分为观察组和对照组各30例,分别行传统肛瘘术和LIFT术治疗.结果 两组临床治疗效果比较,差异无统计学意义.治疗后观察组患者肛门括约功能的良好率86.66％,对照组70.00％（P＜0.05）.治疗后观察组患者肛管直肠的静息压和肛管最大收缩压改善程度较对照组显著（P＜0.05）.观察组患者的总复发率6.67％,对照组13.33％ （P＜0.05）.结论 LIF术式治疗后患者的肛门括约功能及肛管直肠的静息压、肛管最大收缩压的改善效果优于传统手术,且复发率低,可作为肛瘘临床治疗的一线方案.

Postoperative curative effect evaluation of anal fistula operation method and the traditional LIFT surgery

Objective To evaluate the clinical curative effect of traditional surgery way and LIFT in the surgical treatment of anal fistula. Methods Sixty patients in our hospital with anal fistula were randomly divided into observation group of 30 cases and control group of 30 cases, with traditional anal fistula and LIFT for treatment. Results There was no difference in clinical therapeutic effect of two groups. Membranous closure function good rate of obserration group was 86.66%, the control group was 70.00% （P 〈 0.05）. Observation group of anorectal resting pressure, anal canal closed biggest improvement than the control group significantly （P 〈 0.05）. Total recurrence rate of observation group was 6.67%, control group was 13.33%（P 〈 0.05）. Conclusion Membranous closure function and anorectal resting pressure, anal canal maximum systolic blood pressure improved effect of observation group is better than traditional surgery, and the recurrence rate is lower, can be used as clinical treatment of anal fistula.