目的 分析复杂性肛瘘两种手术方式治疗的临床疗效。方法 选取2014年9月—2019年3月收治的80例复杂性肛瘘患者为对象,根据手术方式不同分为对照组与观察组,每组各40例。实施传统切开挂线术的为对照组;实施括约肌间瘘管结扎术的为观察组。对比两组患者的临床治疗效果、术中出血量、创口面积、手术时间、伤口愈合时间、肛门功能以及并发症发生情况。结果 术后两组总有效率对比差异不明显(P＞0.05),观察组术中出血量、创口面积、伤口愈合时间均明显优于对照组,术后6个月后,观察组的肛门功能评分与并发症发生率均低于对照组(P均＜0.05)。结论 在复杂性肛瘘的治疗过程中,括约肌间瘘管结扎术对比传统切开挂线术的手术效果更佳,可缩短患者伤口痊愈的时间,临床价值更高,值得推广。

Objective To analyze the clinical efficacy of two surgical treatments for complex anal fistula.Methods Eighty patients with complicated anal fistula who were admitted to our hospital from September 2014 to March 2019 were enrolled.According to the different surgical methods, they were divided into reference group and observation group, with 40 cases in each group.Traditional incision and suture technique was used in the reference group, and sphincter fistula ligation was performed in the observation group.Clinical treatment effect, intraoperative blood loss, wound area, operation time, wound healing time, anal function, and complications were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups (P>0.05).The amount of blood loss, wound area, and wound healing time in the observation group were significantly less than those in the reference group (P<0.05).After 6 months, the score of anal function and the complication rate in the observation group were lower than those in the reference group (P<0.05).Conclusion In the treatment of complex anal fistula, sphincter fistula ligation is better than traditional incision and suture because it shortens the time of wound healing and has higher clinical value.Therefore, it is worthy of promotion.