肛瘘手术方式的选择和术后切口管理

Choice of surgical procedure and management of postoperative incision for anal frstula

肛瘘是外科常见疾病，一旦出现，很难自愈，手术是其最主要的治愈方式。由于肛瘘的形态和分类等不同，手术方式及术后切口管理方式也不应相同。根据患者具体情况选择合适的手术方式及术后切口管理方式．既可以使肛瘘有效愈合、又可以保护肛门括约肌功能，进而提高患者术后生活质量。现就治疗肛瘘的手术方式及术后切口管理方式综合评价如下。

Anal fistula is a common disease in general surgery. It is difficult to heal without intervention and surgical treatment is the major treatment. Method of surgical treatment and management of postoperative incision are based on features and classifications of anal fistula. Choosing the appropriate approach in accordance with specific conditions of patients can obtain effective healing and proper protection against anal sphincter, along with the improvement of life quality. Comprehensive evaluation on methods of surgical treatment and managements of postoperative incision for anal fistula is presented in this paper.