高位肛瘘外切内挂114例报告

Observation of therapeutic effects of fistulectomy and Cutting seton treatment in 114 cases with high anal fistula

目的观察和评估高位肛瘘外切内挂治疗高位肛瘘的临床疗效。方法回顾性分析我院2001年10月～2006年9月对114例肛瘘病人施行高位肛瘘外切内挂治疗的临床资料。结果全组病人住院时间为3～4d,愈合时间为2～3周,无一例需伤口切开引流。术后疤痕小,肛门变形轻,无肛门失禁等并发症发生。复发5例,复发率为4.4%。结论高位肛瘘外切内挂治疗高位肛瘘既能达到根治肛瘘的目的,又最大限度地保护了肛门的形态和功能,创面愈合时间短,术后疤痕小,手术复发率低,是治疗肛瘘的有效方法。

Objective To observe and assess the therapeutic effects of fistulectomy with onestage Cutting seton in the treatment of high anal fistula. Methods One hundred and fourteen cases of high anal fistula undergoing fistulectomy with one-stage Cutting seton in our hospital from October 2001 to September 2006 were reviewed retrospectively. Results All patients discharged on the postop erative date 3～4. The healing time was 243 weeks. There was no infection, the anal disformation and the sizes of scars were small. Recurrence occurred in 5 cases （4. 4%）. There was no anal sphincter dys- function. Conclusion Fistulectomy with one-stage Cutting seton could not only cure the anal fistula radically but also protect the anal sphincter best. It is the effective method to treat anal fistula with small scar, quick healing and low recurrent rate.