anal fistula
Conditions
Interventions
Observation Group:fistula ligation and intersphincter incision
Control Group:Ligation of the Intersphincteric Fistula Tract
Sponsors
Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Patients who have not undergone previous surgical treatment, or those who initially only received incision and drainage during the perianal abscess stage. 2. Aged 18 to 60 years. 3. Diagnosed with transsphincteric anal fistula by endoanal ultrasound and/or pelvic MRI. 4. Normal anal sphincter function assessed both subjectively and objectively using the Wexner incontinence score and anorectal manometry. 5. Able to read and understand Chinese, and willing to provide consent to participate in this study. 6. Agree not to use any other treatments for anal fistula during the trial period.
Exclusion criteria
Exclusion criteria: 1. Patients with inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis), radiation enteritis, tuberculous anal fistula, etc. 2. Pregnant or lactating women, and patients with cardiac, pulmonary, hepatic, or renal insufficiency who cannot tolerate surgery. 3. Patients with intellectual or mental disorders. 4. Patients currently participating in other clinical trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| healing status; | — |
Secondary
| Measure | Time frame |
|---|---|
| anal function;complications;operation time;length of hospital stay;return-to-work time;hospitalization cost;wound healing time;postoperative pain;patient satisfaction; | — |
Countries
China
Contacts
Public ContactHou Yi
Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine
Outcome results
None listed