主灶切开支管剥离缝合治疗蹄铁型肛瘘82例疗效观察

Clinical Observation on the Therapeutic Efficacy of the Procedure of Incision of Main Fistula and Dissection ＆ Suture of Branches in the Treatment of Horse-shoe Anal Fistula：Analysis of 82 Cases

为探讨蹄铁型肛瘘的治疗方法，采用主灶切开、支管剥离缝合治疗蹄铁型肛瘘82例。结果显示，82例全部治愈，术后无肛门失禁，随访2年无复发。结果表明，主灶切开、支管剥离缝合治疗蹄铁型肛瘘，对瘘管进行充分剥离，术中对肛门括约肌分层缝合，达到了治疗目的，保证了肛门括约肌的完整性，防止了肛门失禁，提高了疗效。

The objective of this study was to probe into the therapy for horse-shoe and fistula. Eighty two patients with horse-shoe anal fistula underwent the procedure of incision of the main fistula and dissection suture of the branches. As results, all the patients were cured, no anal incontinence occurred postopera- tively,and no recurrence was found during the follow up of 2 years. It is concluded that this procedure can ensure a better therapeutic efficacy complete dissection the fistula and stratification suture ani sphincter in- traoperation,preserve the contour of anal sphincter,while prevent anal incontinence.