一期切除保留括约肌直肠减压治疗高位复杂性肛瘘应用研究

Applied Study for Primary Fistulectomy and Rectal Decompression in High Complicated Anal Fistula

目的 研究高位复杂性肛痿一期切除保留括约肌直肠减压术的方法,评价疗效和价值。方法 回顾性研究1986年1月至1997年1月38例高位复杂性肛瘘病例,一期切除全部外口、瘘管、内口,保留括约肌重叠修补,内口逐层缝合伤口,直肠减压。结果 本组病例全部愈合,无肛门失禁、肛门狭窄,术后复发及伤口不愈合等并发症发生。结论本术式治疗高位复杂性肛瘘简单、安全、有效,无并发症、后遗症,值得推广。

Objective To study the methods for primary fistulectomy reserving sphincter of anus and rectal decompression in high complicated anal fistula and to evaluate clinical value and curative effect. Methods Analysing retrospectively 38 cases with high complicated anal fistula underwent primary fistulectomy reserving sphincter of anus and rectal decompression from Jan 1986 to Jan 1997. Results All of patients were healing by first intention. There were no anus stricture or anus incontinence or recurrence after operation. Conclusion The operation method was a simple safe, effective one and worthed being popularized.