改良手术根治加药物脱管疗法治疗婴幼儿肛瘘21例

Modified Radical Surgery Plus Drug Detachment Therapy for Anal Fistula in Infants: An Analysis of 21 Cases

目的：探讨婴幼儿肛瘘的治疗方法。方法21例婴幼儿肛瘘，其中先天性肛瘘6例，后天性肛瘘15例。均采用改良手术根治加药物脱管疗法，即找准肛瘘内口、管道切开，用化腐散脱管,生肌膏换药至愈合。结果随访6个月～2年，21例患儿均治愈，且无复发，无后遗症，治愈率100%。所有患儿创面皮肤平整，瘢痕组织不明显，无肛门畸形、失禁、肛门狭窄等手术后遗症。结论改良手术根治加药物脱管疗法治疗婴幼儿肛瘘疗效显著，无后遗症。

Objective To explore the treatment of anal fistula in infants.Methods Modified radical surgery and drug detachment therapy were performed in 6 infants with congenital anal fistula and 15 infants with acquired anal fistula. Treatment procedures included the inner orificium identification, fistula cutting, Huafusan detachment and Shengjigao dressing. Results After 6-24 months of follow-up, all the 21 infants were cured with no recurrence and sequelae. The cure rate was 100%. All infants had smooth skin with inconspicuous scar tissue. No anal deformity, incontinence, anal stenosis and other surgical complications were found in all infants. Conclusion Modified radical surgery combined with drug detachment therapy is effective for anal fistula and does not result in sequelae in infants.