目的 研究基层医院临床治疗中解剖性肛瘘切除术实际应用可行性。方法 选取2018年1月至2022年12月永安市立医院收治的88例括约肌间瘘（肛瘘）手术治疗者,随机抽签分为对照组（偶数签数,44例,肛瘘挂线术）和观察组（奇数签数,44例,解剖性肛瘘切除术）,对比肛门功能异常状况发生率、肛门形态良好率、创面愈合时间和VAS评分（切口疼痛）指标。结果 观察组患者愈合中、愈合6个月后肛门功能异常情况发生率低于对照组,观察组创面愈合时间、疼痛VAS评分均低于对照组,术后观察组患者肛门形态良好率高于对照组（P<0.05）。结论 解剖性肛瘘切除术应用于基层医院中,肛门功能保护作用和肛门形态修复效果较好。

Objective To investigate the practical application feasibility of anatomical fistula resection in the clinical treatment of primary hospitals. Methods Eighty-eight patients with intersphincteric fistula (anal fistula) treated by surgery in Yong'an People's Hospital from January 018 to December 2022 were randomly divided into control group (even number of signs, 44 cases, anal fistula ligation) observation group (odd number of signs, 44 cases, anatomical anal fistula resection) by drawing lots. The incidence of abnormal anal function, rate of good anal morphology, the time of wound healing and VAS score (incision pain) were compared between the two groups. Results The incidence of abnormal function in the observation group was lower than that in the control group at the time of mid-healing and 6 months after healing. The time of wound healing the VAS score of pain in the observation group were lower than those in the control group. The rate of good anal morphology in the observation group was 10% after the operation, which was higher than that in the control group (84.09%), and there was a statistical difference (P<0.05). Conclusions The application of anatomical anal fistula resection in primary hospitals has a good effect on protecting anal function and repairing anal morphology.