To Explore The Clinical Efficacy Of Treatment Of High Simple Anal Fistula With Tunnel Stripping Drainage And The Inner Ligation In Zhilou Lotion

Objective To explore the clinical efficacy and the advantages and disadvantages of treatment of high simple anal fistula with tunnel stripping drainage and the inner ligation in ZHILOU lotion.Pioneering and innovating an anal fistula improvement procedure that can protect the anal sphincter from injury or no injury and ensure a good cure rate simultaneously.It provides good clinical experience and reference data for minimally invasive surgery and precision surgical treatment of anal fistula.Methods 60 cases of hospitalized patients with high simple anal fistula with Trans-sphincteric fistula at the Anorectal Surgery of Anhui Provincial Hospital of Traditional Chinese Medicine From January 2017 to July 2018 were randomly divided into treatment group and control group,30 cases in each group.The treatment group undergoes operation with anal fistula with tunnel stripping drainage and the inner ligation in ZHILOU lotion,the control group undergoes traditional anal fistula Seton in ZHILOU lotion.Analyze clinical efficacy,The degree of postoperative wound pain,exudation and itching were observed in the two groups(the phase points were observed on the 1st,4th and 9th day after surgery).The wound healing time was counted,and the anal canal resting pressure and maximum systolic pressure and anal function changes were observed before and after treatment.The patients were followed up for at least 3 months to observe the long-term efficacy.Results(1)The effective rate of the two groups was 93.33% in the treatment group and 86.67% in the observation group,The treatment group was higher than the control group,in Chi-square test,P>0.05,the difference was not statistically significant.(2)In terms of pain,exudation,and itching: pain,exudation in the treatment group were superior to the control group on the 1st,4th and 9th day(P<0.05),and the difference was statistically significant;itching in the treatment group were superior to the control group on the 4th and 9th day(P<0.05),and the difference was statistically significant,However,on the first day,there was no itching in the two groups,no difference.(3)In terms of postoperative wound healing time: the wound healing time of the treatment group was significantly better than that of the control group(P<0.05),and the difference was statistically significant;(4)Comparison of anal canal resting pressure and maximum systolic pressure before and after operation in the two groups: the anal canal resting pressure and maximum systolic pressure before and after surgery in the treatment group were P>0.05,the difference was not statistically significant;The resting pressure and the maximum systolic pressure were compared,P<0.05 all,the difference was statistically significant.Compared with the anal canal resting pressure in the treatment group and the control group,P<0.05 all,the difference was statistically significant;the treatment group and Compared with the maximum systolic blood pressure of the anal canal in the control group,P<0.05,the difference was statistically significant;(5)In terms of anal function before and after surgery: the scores of the two groups before the operation were tested by rank sum test,P>0.05,the difference was not statistically significant.The scores of the two groups were tested by rank sum test,P<0.05,the difference was statistically significant.The scores of preoperative and postoperative points were analyzed by rank sum test,P>0.05,There was no significant difference in postoperative anal function between the two groups.The preoperative and postoperative scores of the control group were tested by rank sum test,P<0.05,There was a statistically significant difference in anal function between preoperative and postoperative patients.(6)At least 3 months after follow-up,1 case of no efficiency occurred in both groups.The no efficiency rate was 3.3% in the treatment group and 6.6% in the control group,In Chi-square test,P>0.05,the difference was not statistically significant.Conclusion Anal fistula minimally invasive surgery has the advantages of reliable curative effect,small surgical injury,light postoperative pain,reduced postoperative symptoms,shortened healing time,and can effectively protect anal function in ZHILOU lotion.It is a minimally invasive surgery method that focuses on protecting the perianal muscle groups at home and abroad.First,it is worthy of further clinical research and discussion.