中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
34期
7-11
,共5页
肛瘘%括约肌间瘘管结扎术%LIFT
肛瘺%括約肌間瘺管結扎術%LIFT
항루%괄약기간루관결찰술%LIFT
Anal fistula%Ligation of the intersphincteric fistula tract%LIFT
目的：括约肌间瘘管结扎术（LIFT）治疗肛瘘可保护肛门功能，但其治疗效果存在争议。本文对采用括约肌间瘘管结扎术（LIFT）治疗肛瘘的文献进行系统综述，探讨其治疗肛瘘的有效性及安全性。方法：检索Pubmed，OvidSP，Web of Science数据库，检索时间从建库至2014年7月，纳入文献为采用括约肌间瘘管结扎术（LIFT）治疗肛瘘的病例报道。结局指标包括随访时间、手术成功率、并发症、手术时间、伤口愈合时间。结果：最终纳入24篇文献，病例数8~93例，共787例患者。术后随访时间1周~44个月，平均随访时间2~26个月。手术成功率40%~95%，平均71.2%（560/787）。术后并发症发生率2.7%，无严重并发症。手术时间7.5~100 min，平均手术时间11~67.5 min。伤口愈合时间1~36周，平均伤口愈合时间18 d~8周。结论：括约肌间瘘管结扎术（LIFT）是治疗肛瘘的有效方法，是安全的手术方式。
目的：括約肌間瘺管結扎術（LIFT）治療肛瘺可保護肛門功能，但其治療效果存在爭議。本文對採用括約肌間瘺管結扎術（LIFT）治療肛瘺的文獻進行繫統綜述，探討其治療肛瘺的有效性及安全性。方法：檢索Pubmed，OvidSP，Web of Science數據庫，檢索時間從建庫至2014年7月，納入文獻為採用括約肌間瘺管結扎術（LIFT）治療肛瘺的病例報道。結跼指標包括隨訪時間、手術成功率、併髮癥、手術時間、傷口愈閤時間。結果：最終納入24篇文獻，病例數8~93例，共787例患者。術後隨訪時間1週~44箇月，平均隨訪時間2~26箇月。手術成功率40%~95%，平均71.2%（560/787）。術後併髮癥髮生率2.7%，無嚴重併髮癥。手術時間7.5~100 min，平均手術時間11~67.5 min。傷口愈閤時間1~36週，平均傷口愈閤時間18 d~8週。結論：括約肌間瘺管結扎術（LIFT）是治療肛瘺的有效方法，是安全的手術方式。
목적：괄약기간루관결찰술（LIFT）치료항루가보호항문공능，단기치료효과존재쟁의。본문대채용괄약기간루관결찰술（LIFT）치료항루적문헌진행계통종술，탐토기치료항루적유효성급안전성。방법：검색Pubmed，OvidSP，Web of Science수거고，검색시간종건고지2014년7월，납입문헌위채용괄약기간루관결찰술（LIFT）치료항루적병례보도。결국지표포괄수방시간、수술성공솔、병발증、수술시간、상구유합시간。결과：최종납입24편문헌，병례수8~93례，공787례환자。술후수방시간1주~44개월，평균수방시간2~26개월。수술성공솔40%~95%，평균71.2%（560/787）。술후병발증발생솔2.7%，무엄중병발증。수술시간7.5~100 min，평균수술시간11~67.5 min。상구유합시간1~36주，평균상구유합시간18 d~8주。결론：괄약기간루관결찰술（LIFT）시치료항루적유효방법，시안전적수술방식。
Objective:To explore the efficacy and safety about the treatment of anal fistula,the aim of this article was to review the published literature on the LIFT procedure.Ligation of the intersphincteric fistula tract(LIFT) is a sphincter-preserving procedure in the treatment of anal fistula,while there is debate on the curative effect.Method:Pubmed,OvidSP and Web of Science database were searched from establishment to July 2014.All studies that investigated the LIFT procedure in the treatment of anal fistula were eligible for inclusion. The primary outcomes measured were the length of follow-up,success rate,complication,duration of the operation and wound healing.Result:Twenty-four articles were finally included for analysis.Sample sizes ranged from 8 to 93 patients,with a total of 787 patients.Follow-up ranged from 1 week to 44 months,with a reported mean of 2 to 26 months. Success rates ranged from 40%to 95%, with a pooled success of 71.2%(560/787).No serious complication was reported,with overall complication rate of 2.7%.Duration of the operation ranged from 7.5 to 100 minutes,with a reported mean of 11 to 67.5 minutes.Duration of wound healing ranged from 1 to 36 weeks,with a reported mean of 18 days to 8 weeks. Conclusion:Ligation of the intersphincteric fistula tract is effective in the treatment of anal fistula and is a safe procedure.
