To investigate the effect of different surgical approaches on excision of anterior sacral cyst and its clinical application.

A total of 87 patients with anterior sacral cysts from January 2018 to June 2022 were selected as the study subjects, all of whom underwent excision of anterior sacral cysts. They were divided into two groups according to different surgical approaches. The observation group (n=45 cases) took the transperineal approach, and the control group (n=42 cases) took the transsacrococcygeal approach. SPSS 25.0 was used for statistical analysis. Measurement data such as perioperative indexes and anal function Score Scale (Wexner) were represented with (), and independent sample t test was performed. χ² test was performed for postoperative complications and rank sum test was performed for grade counts. P<0.05 was considered statistically significant.

The operation time, intraoperative blood loss and sacral excision cases in observation group were better than those in control group (P<0.05). Wexner scores in observation group were lower than those in control group at 3 months and 6 months after operation (P<0.05). There was no significant difference in Williams classification, total complication rate and recurrence rate between 2 groups (P>0.05).

Perineal approach to anterior sacral cyst excision is more conducive to surgical operation, can effectively reduce surgical bleeding, protect anal function, especially suitable for excision of high anterior sacral cyst, worthy of clinical promotion.