改良LIFT术治疗肛瘘疗效分析.docVIP

改良LIFT术治疗肛瘘疗效分析 　　广东省饶平县人民医院外科，广东饶平 515700 　　 　　[摘要] 目的探讨采用改良LIFT术式治疗肛瘘的临床疗效方法 2013年2月~2014年2月，收治肛瘘患者36例，男27例，女9例，年龄16~60岁，平均（26.0±8.5）岁。均采用改良LIFT术，术后结合临床所见及术后随访对改良LIFT术的疗效进行回顾性分析评价。 结果 36例患者均全疗治愈；患者均获随访，平均随访时间6（2~10）个月，术后仅1例复发，均无肛门畸形和功能障碍出现。 结论 采用改良LIFT术治疗肛瘘，在保证疗效的基础上，最大程度的维持肛门正常功能，减少肛门括约肌的损伤，降低复发率，术后疗效满意。 　　[关键词] 肛瘘；改良LIFT术 　　[中图分类号] R657.1#8195;#8195;#8195;[文献标识码] B#8195;#8195;#8195;[文章编号] 2095-0616（2014）11-182-02 　　 　　Efficacy analysis of improved LIFT surgery in treatment of anal fistula 　　XU#8195;Xianxin#8195;#8195;YANG#8195;Jingxian#8195;#8195;WANG#8195;Zhenwei#8195;#8195;YU#8195;Yingyu 　　Department of Surgery, Raoping Peoples Hospital, Raoping 515700, China 　　[Abstract] Objective To explore the clinical efficacy of the improved LIFT surgical method in the treatment of anal fistula. Methods From February 2013 to February 2014, 36 patients with anal fistula were admitted and treated, including 27 men and 9 women aged 16 to 60 years, with an average age of (26.0±8.5)years. All the patients received improved LIFT surgery. The efficacy of improved LIFT surgery was analyzed and evaluated retrospectively combing clinical findings and postoperative follow-up visits. Results All the 36 patients were cured. All the patients received follow-up visits and the average follow-up visit time was 6 (2-10) months. After the surgery, only 1 patient relapsed and no anal malformation or dysfunction was observed. Conclusion The application of improved LIFT surgery in the treatment of anal fistula can maintain normal anal function to the maximum, reduce anal including sphincter damage, reduce recurrence rate and guarantee satisfying postoperative efficacy. 　　[Key words] Anal fistula; Improved LIFT surgery 　　肛瘘是指直肠、肛管与肛门周围皮肤相通所形成的慢性感染性瘘管。是一种常见的肛肠科疾病，是由肛腺感染，进而致肛门直肠周围出现脓肿，在脓肿破溃或被切开引流后形成。多由内口、瘘管和外口三部分组成。内口为原发性，绝大多数在肛管齿线附近，外口为继发性，位于肛周皮肤，瘘管壁由增厚的纤维组织组成，内复一层肉芽组织。临床表现为肛门硬结、肛周局部反复溃破流脓，疼痛、瘙痒、潮湿等[1-3]。肛瘘的好发年龄为青壮年，男性高于女性，因其迁延不愈的特点，严重影响患者的日常生活与工作，令患者痛苦不堪。手术是治愈肛瘘的唯一方法。手术治疗肛瘘的原理是：（1）