手术治疗蹄铁型肛瘘110例效果观察

Operative Treatment of Horseshoes-shaped Anal Fistula：Therapeutic Efficacy Observation of 110 Cases

为提高蹄铁型肛瘘的疗效，采用主管道切开部分瘘管对口引流术，主管道切开挂线、支管对口引流术，瘘管切除部分缝合术，瘘管切除术治疗蹄铁型肛瘘110例，全部治愈。结果表明，应用合理术式治疗蹄铁型肛瘘可降低手术难度，缩短疗程，且复发率低，术后无肛门畸形、狭窄及失禁等并发症和后遗症。

In order to enhance the therapeutic effect of horseshoes-shaped anal fistula,authors adopted the procedure of incision main fistula tract and partly fistula tract counterdrainage,incision and thread drawing of main fistula tract, brarch fistula tract counterdrainage, fistula tract resection and partly suture, fistula tract resection to treat 110 cases of horseshoes-shaped anal fistula. The 110 cases were all cured. The re- suits indicate that the procedures for horseshoes-shaped anal fistula can decrease operative difficulty, shorten treatment course, and has low recurrence rate, without postoperative anal deformity, anal stenosis and incontinence, etc. complication and sequela.