Chen Hongjin, Gu Yunfei, Sun Guidong, Zhou Zailong, Zhu Ping, Wu Shuang, Yang Bolin
Department of Colorectal Surgery, The Affiliated Hospital, Nanjing University of Chinese Medicine, Nanjing 210029, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Dec;17(12):1190-3.
To evaluate the efficacy of ligation of intersphincteric fistula tract (LIFT) in the treatment of complex fistula-in-ano.
Clinical data of 24 patients with complex fistula-in-ano who treated with LIFT in the Affiliated Hospital of Nanjing University of Chinese Medicine from September 2009 to February 2012 were analyzed retrospectively. The operative efficacy and postoperative continence were evaluated.
The prime success rate of fistula healing was 66.7% (16/24) after the LIFT procedure. Two patients presented with intersphincteric incision infection which was successfully treated with topical of silver nitrate. Four patients had intersphincteric fistula with infection and managed with the complete laying open approach. The total clinical healing rate was 91.7% (22/24). Another 2 patients had persistent external opening with discharge. During follow-up of 6 to 44 (median 16) months, The Cleveland Clinic Florida Fecal Incontinence score revealed that no patient developed decreased continence.
LIFT is a safe and effective sphincter-preserve procedure for complex fistula-in-ano.
评估括约肌间瘘管结扎术（LIFT）治疗复杂性肛瘘的疗效。
回顾性分析2009年9月至2012年2月在南京中医药大学附属医院接受LIFT治疗的24例复杂性肛瘘患者的临床资料。评估手术疗效及术后控便能力。
LIFT术后肛瘘愈合的主要成功率为66.7%（16/24）。2例患者出现括约肌间切口感染，经硝酸银局部应用成功治愈。4例患者为括约肌间瘘合并感染，采用完全敞开法处理。总临床愈合率为91.7%（22/24）。另外2例患者外口持续有分泌物。在6至44个月（中位时间16个月）的随访中，佛罗里达克利夫兰诊所粪便失禁评分显示，无患者出现控便能力下降。
LIFT是一种治疗复杂性肛瘘安全有效的保留括约肌手术。
