摘要
目的探讨高位复杂性肛瘘的诊断和术式选择。方法对30例高位复杂性肛瘘患者的临床资料进行回顾性分析。结果切开挂线术10例,旷置加挂线术10例,切开术5例,行切开旷置术2例,切开挂线加部分缝合术2例,切除缝合术1例。28例痊愈,1例好转,1例癌变自动出院。结论高位复杂性肛瘘的诊断主要依靠病史、临床体检、直肠腔内超声。根据管道情况采取切开挂线、切开旷置、部分缝合等综合方法治疗,能有效避免术后并发症的发生。
Objective To analyses the diagnosis and treatment of high complex anal fistula. Methods The data of 30 cases with high complex anal fistula were analyzed retrospectively . Results The fistula of 10 cases were incised and put a seton, 10 case drainaged and put a seton, 5 cases incised and let the wound openly, 2 cases drainaged , 2 cases incised and put a set on and sutured partially, 1 case resected radically and sutured completely. 28 cases were healed, 1 case got better, and 1 case with cancer discharged. Conclusions The case history, physical examination and trans-rectal ultrasonography play important roles in the diagnosis of high complex anal fistula. The appropriate therapy methods should be selected according to the condition of fistula. The complications can be decreased effectually.
出处
《实用全科医学》
2005年第3期207-208,共2页
Applied Journal Of General Practice
