切开改道开窗留桥术治疗复杂性肛瘘

Complexity anal fistula treated with dissection changing its route,fenestration and remain skinny bridge

目的探讨通过改道切开、开窗保留皮桥治疗复杂性肛瘘的临床效果。方法治疗组（79例）在骶管麻醉或局部麻醉下采用改道切开内口；外口开窗清创、皮桥旷置治疗复杂性肛瘘；对照组（77例）采用传统治疗方法。结果156例全部治愈，疗程13—29d，治疗组平均治愈时间（18±5）d，对照组平均治愈时间（23±6）d，两组比较差异有统计学意义（P〈0．01）。结论切开改道、保留皮桥治疗复杂性肛瘘是一种手术创伤小、出血量少、简便易行、安全可靠、恢复快、并发症少的手术治疗方法，值得临床推广应用。

Objective To discuss the clinical remedial effect of complexity anal treated with dissection changing its route, fenestration and remain skinny bridge. Methods The sufferers of treatment group （79 cases） with complexity anal were treated with dissection changing it＇ s route, fenestration and remain skinny bridge; the sufferers of comparison group （77 cases） with complexity anal were treated with traditional method. Results 156 sufferers were cured, their period of treatment was 13 -29 days. treatment group＇ s average time of cure was（ 18 ± 5 ） days, comparison group＇ s average time of cure was （ 23 ±6 ） days. There was significant difference in the two groups （ P 〈 0. 01 ）. Conclusion Dissection changing it＇ s route, fenestration and re- main skinny bridge was simple and has less injury, shorter healing period, less pain and lower occurrence of relapse. It is worth using in clinic.