挂线、瘘道旷置引流术治疗高位复杂性肛瘘

Seton Drainage and Lay-open Fistulotomy in the Treatment of High Complex Anal Fistula

目的 探讨挂线、瘘道旷置引流术治疗高位复杂性肛瘘的效果。 方法 采用挂线、瘘道旷置引流术治疗高位复杂性肛瘘 76例。 结果 3 0d内治愈率达 10 0 % ,随访 2～ 3年 ,仅 1例复发 ,远期治愈率为 98.7% ,术后无肛门变形、皮肤缺损、肛门失禁或狭窄等后遗症。 结论 该方法治疗高位复杂性肛瘘方法简便。

Objective To evaluate a new technique in the treatment of high complex anal fistula. Methods Seton and Lay-open fistulotomy was applied in 76 cases of high complex anal fistula. Results All cases were cured within 30 days. Followed up for 2～3 years, one case relapsed, and no complications were found, such as anal deformation, cutaneous defect, large anal cicatrice, fecal incontinence or anal stricture. The long term cure rate was 98.7%. Conclusion Seton and Lay-open fistulotomy was effective for the treatment of high complex anal fistula.