切开挂线配合中药坐浴治疗高位复杂性肛瘘78例

Therapeutic Results of the Combined Therapy of Incision,Thread-drawing plus Sitz Bath with Traditional Chinese Drugs in the Treatment of High and Complex Anal Fistula：Analysis of 78 Cases

为提高高位复杂性肛瘘的手术效果，减少并发症和后遗症，保持肛门的正常功能和形态，对78例高位复杂性肛瘘患者采用主管道切开引流或挂线引流，支管道对口挂浮线或旷置引流，术后并配合中药坐浴。78例均一次性治愈，随访3～9年无复发，术后患者排便通畅，肛门外形美观，无漏气、漏液及肛门失禁者。结果表明，切开挂线对口或旷置引流微创手术配合中药坐浴治疗高位复杂性肛瘘根治彻底，保持了肛门的正常功能和形态，愈合快，缩短了住院时间。

Seventy eight patients with high and complex anal fistula underwent the combined therapy of incision and drainage or thread-drawing drainage for the main fistulae, floating thread-drawing drainage or sparing drainage for the branch fistulae,and traditional Chinese drug sitz bath. As results,all these cases were cured primarily,follow up of 3-9 years found no recurrence,and anal function was well protected in terms of smooth defecation, no anal deformity, no gas and fluid incontinence, and no fecal incontinence. It is concluded that this combined therapy has such optimal points as maintaining the normal function and contour of the anus,ensuring a thorough cure,quicker healing and shorter hospital stay.