低切高挂加旷置术治疗高位复杂性肛瘘58例疗效观察

Low Incision and High Thread-Drawing plus Kuangzhi for Complex High Anal Fistula of 58 Cases

为观察低切高挂加旷置术治疗高位复杂性肛瘘的临床疗效，对58例高位复杂性肛瘘患者采用内口处主管切开引流或挂线，远端主管、支管及内口肛管直肠环以上行主管、支管旷置或引流治疗。结果显示，治愈率100％，平均愈合时间18．6d，无复发。结果表明，低切高挂加旷置术治疗高位复杂性肛瘘操作简单，痛苦小，疗程短，瘢痕小，肛门功能保护良好。

This study was observe the clinical efficacy of complex high anal fistula treated with low incision and high thread-drawing plus kuangzhi（residual tract might not be managed）. Fifty eight cases received low incision drainage or high thread-drawing for main canal at the internal opening, and Kuangzhi or drainage for the distal main and branch canal, as well the main or branch canal above the anorectal ring at internal o- pening. The results showed that the curative rate was 100~/40, the average wound healing time was A8.6 days,no recurrence. It is concluded that low incision and high thread-drawing plus kuangzhi is of simple manipulation,less pain,shorter treatment course,mild scar ,better protection for the anal function.