摘要
为总结复杂性肛瘘的治疗经验，对53例复杂性肛瘘采用切开、挂线、旷置、缝合术治疗。结果显示，一次手术治愈48例，占90．4％，二次手术治愈5例，占9．6％，治愈率100％；随访6个月无复发。结果表明：（1）复杂性肛瘘的术式选择可根据瘘道的部位、走向、高低、深浅、弯直，综合应用切开、挂线、旷置、缝合术，从而提高治愈率，缩短疗程，减少并发症、后遗症。（2）手术关键是寻找内口，彻底清除原发病灶、支管、盲管。（3）术后正确换药，确保引流通畅是手术成功的保证。
This study was to sum up the experience in treating complex anal fistula. 53 cases were managed with ineision,thread-drawing,kuangzhi and suture. The results showed that 48 cases were cured after primary operation,accounting for 90.4%0,5 cases cured after secondary operation（9.6%）,the total curative rate was 100% ;no recurrence after a 6 month follow-up. It is concluded that 1） the choice of surgical procedure should depend on the overall condition of the anal fistula such as the location, running direction, height depth and curved straight, etc. Then incision, thread-drawing, kuangzhi and surgical suture used comprehensively,so as to improve curative rate, shorten treatment course, reduce complications and sequelae. 2） The key point in the operation is to identify the internal opening,and completely remove primary lesions, branch fistula and blind fistula. 3） Proper dressing changes and unobstructed drainage ensure the success of operation.
出处
《中国肛肠病杂志》
2012年第7期48-49,共2页
Chinese Journal of Coloproctology
关键词
肛瘘
手术
临床分析
Anal fistula
Operation
Clinical analysis
