Department of Colorectal Surgery, Beijing Erlonglu Hospital, Beijing, People's Republic of China.
Department of General Surgery, Xuanwu Hospital, 12517Capital Medical University, Beijing, People's Republic of China.
Surg Innov. 2021 Dec;28(6):688-694. doi: 10.1177/1553350621992924. Epub 2021 Feb 10.
. The surgical treatment of complex anal fistulae is very challenging because of the incidence of incontinence after traditional approaches. There are no studies on the role of video-assisted anal fistula treatment (VAAFT) combined with anal fistula plug (AFP) in the complex anal fistulae. The aim of this study was to demonstrate the efficacy of treating complex anal fistulae using VAAFT combined with AFP. . This was a retrospective, nonrandomized observational study. 57 consecutive patients with complex anal fistulae who had undergone the VAAFT with AFP in our hospital between April 2016 and December 2019 were included. The primary outcomes were the cure rate, recurrence rate, and Wexner incontinence scores; the secondary outcomes were surgery time, blood loss, wound healing time postoperatively, pain, and patient satisfaction. . All 57 patients completed the surgery and follow-up, with an average follow-up time of 28 months; 6 patients suffered with recurrence (recurrence rate: 10.5%). The average surgery time was 57.9 minutes, and the average wound healing time was 46 days. There were no severe postoperative complications, and anal sphincter function was protected in all patients. . The treatment of complex anal fistula by VAAFT combined with AFP is safe and effective, has a high healing rate and few postoperative complications, and is a promising surgery that can effectively protect the patient's anal sphincter function.
. 由于传统方法治疗后会出现失禁，因此复杂肛瘘的手术治疗极具挑战性。目前还没有关于视频辅助肛瘘治疗（VAAFT）联合肛瘘栓（AFP）治疗复杂肛瘘作用的研究。本研究旨在证明 VAAFT 联合 AFP 治疗复杂肛瘘的疗效。. 这是一项回顾性、非随机的观察性研究。2016 年 4 月至 2019 年 12 月期间，我院采用 VAAFT 联合 AFP 治疗了 57 例复杂肛瘘患者。主要结局指标为治愈率、复发率和 Wexner 失禁评分；次要结局指标为手术时间、出血量、术后伤口愈合时间、疼痛和患者满意度。. 所有 57 例患者均完成手术和随访，平均随访时间为 28 个月；6 例患者复发（复发率：10.5%）。平均手术时间为 57.9 分钟，平均伤口愈合时间为 46 天。术后无严重并发症，所有患者的肛门括约肌功能均得到保护。. VAAFT 联合 AFP 治疗复杂肛瘘安全有效，治愈率高，术后并发症少，是一种有前途的手术，可以有效保护患者的肛门括约肌功能。
