Simplicity, Complexity, Different Operation Methods In The Treatment Of Horseshoe Anal Fistula And The Effect Analysis

Objective:By collecting anal fistula, complex anal fistula, horseshoe anal fistula clinical data were retrospectively analyzed, analysis of different types of patients with anal fistula by surgery method is used, comparison of different surgical methods of treatment effect, explore simple and complicated, horseshoe anal fistula effective treatment and the therapeutic effect, provide a reference for the clinical treatment of a variety of anal fistula..Methods: 1、Collected 330 cases of anal fistula patients were retrospectively analyzed clinical data, divided according to the type of simple low anal fistula anal fistula group of anal group, low complexity anal fistula group, high complex anal fistula group, horseshoe anal fistula group;2、Each type of anal fistula were treated with two surgical methods of treatment, the two groups were compared surgical treatment, postoperative pain, wound healing time, and anal sphincter function;3、Simple low anal fistula group were modified anal fistula slit drainage and fistula incision basal suture treatment; of anal group were used to tunnel fistula removed ligation and anal fistula kerf seton drainage treatment; low complexity anal fistula group respectively incision and thread and fistula treatment exclusion; high complex anal fistula group were used to hang Gannes exo and incision and drainage hose line treatment; horseshoe anal fistula group were using radial incision line counterparts drainage and hung inside the mouth slit drainage treatment;4、To treatment efficacy, wound healing time, postoperative pain and anal sphincter function scores as compared to investigate the effects of different surgical methods for treating different types of anal fistula, choose the best surgical method of treatment;5、The resulting data using SPSS 18.0 statistical software to analyze measurement data using that the groups were compared using the t test, count data rate means,χ2 test, test α= 0.05, P <α is statistically significant.Results: 1、Improved drainage slits anal fistula treatment of low anal fistula total effective rate was 100.00%, significantly higher than the base suture fistula incision total efficiency of 92.00%; healing time, postoperative pain and anal sphincter fistula cut scores were less than basal suture, the values between the two groups was statistically significant(P <0.05).2、Excluding tunnel fistula ligation treatment of anal total effective rate was 100.00%, significantly higher than the fistula seton drainage slits total efficiency of 93.33%; healing time, postoperative pain scores were less than the anal sphincter and anal fistula cut sewing thread drainage, the values between the two groups was statistically significant(P <0.05).3、Incision and thread complex anal fistula treatment of low total effective rate was 100.00%, significantly higher than the fistula surgery exclusion total efficiency of 86.67%; healing time, postoperative pain scores were less than the anal sphincter and exclusion fistula surgery group between the values was statistically significant(P <0.05).4、Hanging Gannes exo hose drainage in the treatment of high complex anal fistulas total effective rate was 100.00%, significantly higher than the incision and thread the total efficiency of 90.00%; healing time, postoperative pain and anal sphincter cut scores were less than seton surgery, the values between the two groups was statistically significant(P <0.05).5、Radial incision line counterparts drainage in the treatment of anal fistula horseshoe total effective rate was 100.00%, significantly higher than in the mouth slit drainage seton total efficiency of 73.33%; healing time, postoperative pain and anal sphincter scores were less than the cut sewing thread in the mouth drainage, the values between the two groups was statistically significant(P <0.05). Conclusion:1、Simple low anal fistula using a modified anal fistula drainage slits can improve the therapeutic effect, promote wound healing and reduce postoperative pain and improve function of the anal sphincter.2、Excluding tunnel fistula ligation treatment of anal obtain satisfactory results, to improve the therapeutic effect, promote wound healing and reduce pain after rushed to improve the anal sphincter.3、Low complex anal fistulas using the incision line treatment, the treatment effect is obvious exclusion significantly in fistula surgery can shorten healing time and reduce postoperative pain, reduce anal sphincter dysfunction.4、Plus drainage hose hanging treatment of high complex anal fistulas can improve the therapeutic effect, to ensure that patients sphincter function and reduce postoperative pain, a significant treatment effect within circumscribed.5 、Horseshoe anal fistula using radial incision line counterparts drainage treatment can improve the therapeutic effect, reduce postoperative pain and shorten healing time and improve the function of the anal sphincter.