摘要
为探讨复杂性肛瘘的手术治疗方法以及影响创口愈合的因素，回顾分析接受手术治疗的82例复杂性肛瘘患者资料。结果显示，82例患者全部治愈，治愈率为100％，其中一期手术治愈80例（高位复杂性肛瘘20例、低位复杂性肛瘘60例），二期手术治愈2例（均为高位复杂性肛瘘）。疗程20～49d，平均28d。术后创口不愈合3例，其中2例为结核性肛瘘，经外用及口服抗结核药后创口愈合；另1例由于换药频繁致创口不愈，经医师正确换药后创口愈合。随访6个月至3年，均无复发，元肛门失禁、肛门狭窄、肛门畸形等后遗症。结果表明，大多数复杂性高位肛瘘是可以一期手术治愈的。肛瘘治疗的同时，应重视对复杂性肛瘘特殊病因的查找，尤其是结核性肛瘘术前不易诊断，值得关注。
In order to explore the surgical therapy for complex anal fistula and the factors influencing wound healing,author retrospectively analyzed the data of 82 patients with complex anal fistula who had received surgical treatment. As results,82 cases were all cured, curative rate was 100% among whom 80 were primarily cured（20 cases being high complex fistula, 60 cases being low complex fistula）, 2 secondarily cured（2 cases all being high fistula） ;treatment course was 20-49d（averaged 28d）;after operation no-heal- ing of wound occured in 3 cases（2 cases being tuberculous fistula,then cured through administration of an- ti-tuberculous drugs;rest one being due to too frequent dress, then correcting dress under doctors up to healing） ;the follow-up of 6-36 months did not find any recurrence,anus incontinence,anus stenosis and malformation,etc sequela. Results show that most high complex anal fistula could be cured primarily. It is noticed that during treatment to search for special cause of fistula, especially tuberculous anal fistula diffi- cultly be diagnosed before operation,should be caution.
出处
《中国肛肠病杂志》
2012年第8期45-47,共3页
Chinese Journal of Coloproctology
关键词
复杂性肛瘘
手术治疗
疗效
Complex anal fistula
Surgical treatment
Therapeutic effect
