杨巍采用分次虚实高挂术治疗高位肛复杂性肛瘘经验

Yang Wei’s clinical experience in high loose seton-gradually close thread therapy for high complex anal fistulas

介绍杨巍教授采用分次虚实高挂术治疗高位复杂性肛瘘经验。认为传统的挂线术创伤大,对肛门功能有一定的影响。基于保护肛门括约肌功能,以微创理念为指导,根据高位肛瘘脓腔大、内口高、瘘管深、支管多等特点,创立分次虚实高挂术;不仅临床疗效确切,而且并发症少。并附验案1则。

This article presents Professor Yang Wei’s clinical experience in treating high complex anal fistulas with the high loose seton-gradually close thread therapy.It is believed that the traditional seton therapy is highly traumatic and has a certain impact on the function of the anus.Based on the concept of protecting the function of the anal sphincter,and guided by the concept of minimally invasive surgery,Professor Yang has created the high loose seton-gradually close thread therapy considering the characteristics of high anal fistula with large abscess cavity,high internal opening,deep fistula and many branches.The high loose seton-gradually close thread therapy is not only clinically effective but also has few complications.One proven and effective case is attached.