改良肛门括约肌悬吊术可改善肛瘘患者的肛门功能。
Modified anal sphincter suspension improves anal function in patients with anal fistula.
作者信息
Chen Peng, Zhang Xu
机构信息
Department of Colorectal Surgery, The First People's Hospital of Lin'an District, Hangzhou Hangzhou 311300, Zhejiang, China.
出版信息
Am J Transl Res. 2024 Sep 15;16(9):4858-4866. doi: 10.62347/OYAR1659. eCollection 2024.
OBJECTIVE
To compare conventional thread-ligating therapy with the modified anal sphincter suspension procedure on the restoration of anal function in patients with anal fistula.
METHODS
This retrospective study included 120 consecutive patients with anal fistula treated at The First People's Hospital of Lin'an District, Hangzhou between January 2022 and December 2023. Patients were divided into an experimental group (n=66) who underwent the modified anal sphincter suspension procedure with preservation, and a control group (n=54) who received conventional thread-ligating therapy. Clinical data, including age, gender, duration of illness, BMI, medical history, anal function, pain score, quality of life score, overall efficacy assessment, and postoperative complications, were collected from the hospital's electronic medical records.
RESULTS
The cure rate was 90.91% in the experimental group and 92.59% in the control group (P>0.05). Compared to the control group, the experimental group showed significantly higher scores in psychological function (89.65±6.87 vs. 89.35±7.67, P=0.004), material life (85.64±6.87 vs. 68.64±6.58, P=0.002), physical function (80.98±5.98 vs. 70.85±5.68, P=0.003), and social function (86.63±5.97 vs. 74.65±6.38, P=0.009) after surgery. Additionally, the Wexner scores, VAS scores, ARP, and RRP were significantly decreased in the experimental group postoperatively (all P<0.05).
CONCLUSIONS
The modified anal sphincter suspension procedure with preservation significantly reduces postoperative pain and improves anal function, thereby enhancing the quality of life in patients with anal fistula.
目的
比较传统结扎疗法与改良肛门括约肌悬吊术对肛瘘患者肛门功能恢复的影响。
方法
本回顾性研究纳入了2022年1月至2023年12月期间在杭州市临安区第一人民医院连续治疗的120例肛瘘患者。患者分为实验组（n = 66），接受保留改良肛门括约肌悬吊术；对照组（n = 54），接受传统结扎疗法。从医院电子病历中收集临床资料，包括年龄、性别、病程、BMI、病史、肛门功能、疼痛评分、生活质量评分、总体疗效评估和术后并发症。
结果
实验组治愈率为90.91%，对照组为92.59%（P>0.05）。与对照组相比，实验组术后心理功能（89.65±6.87 vs. 89.35±7.67，P = 0.004）、物质生活（85.64±6.87 vs. 68.64±6.58，P = 0.002）、身体功能（80.98±5.98 vs. 70.85±5.68，P = 0.003）和社会功能（86.63±5.97 vs. 74.65±6.38，P = 0.009）得分显著更高。此外，实验组术后Wexner评分、VAS评分、ARP和RRP均显著降低（均P<0.05）。
结论
保留改良肛门括约肌悬吊术可显著减轻术后疼痛，改善肛门功能，从而提高肛瘘患者的生活质量。
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