KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT CÁC BỆNH NHÂN RÒ HẬU MÔN PHẦN CAO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Evaluate the results of surgical treatment of patients with high anal fistula treated surgically at Viet Duc University Hospital (January 2020 - June 2023). Subjects and methods: retrospective cross-sectional description of 152 patients with high anal fistula treated surgically at Viet Duc Hospital from January 2020 to June 2023. Results: Mean age 44.86 ± 13.76; The largest age group is 21 -60, accounting for 80.92%. The disease is common in men, accounting for 141/152 patients (92.76%). Disease duration is less than 6 months, accounting for 77.33%. There are 45.39% of patients had surgery 1 time or more. The rate of transsphincteric fistula is high, accounting for 91.45%. Postoperative complications: 1.33% of patients had bleeding after surgery, 8.67% had to be catheterized, and 3.33% had diffuse inflammation. The average healing time is 7.06 ± 3.11 weeks; p< 0.05. The overall results showed a good rate of 81.58%; average is 16.45% and poor is 1.97%. The difference in overall results according to surgical method is statistically significant with p < 0.05. Conclusion: High anal fistula is difficult to treat and requires careful monitoring and dressing changes. Opening the fistula is the main method of treatment. The average time from surgery to complete scar healing was 7.06 ± 3.11 weeks.