对口引流挂线术治疗高位马蹄瘘的临床观察  

Clinical Observation of High Anal Horseshoe Fistula Treated with Contradrainage and Thread Drawing Method

作　　者：李兴谦[1] 李延林[1] 王艳梅[1] 吴兵[2] 

机构地区：[1]大庆市人民医院肛肠科,黑龙江大庆163316 [2]双鸭山煤碳总医院,黑龙江双鸭山155100

出　　处：《黑龙江医学》2004年第8期615-616,共2页Heilongjiang Medical Journal

摘　　要：目的　探讨对口引流挂线在治疗高位马蹄瘘的效果。方法　在腰麻或硬膜外麻醉下 ,检查瘘口位置、走向及形态 ,切开外口一段管道 ,于瘘道转弯处切开皮肤 ,皮下组织 ,穿出探针 ;另一支探针自人造外口探入 ,在指诊引导下 ,由内口穿出 ,将齿线以下组织 1次性剖开 ,将肛直环挂一橡皮筋拉紧结扎 ,以便造成肛瘘管道缺血坏死而切开。结果　平均住院 2 7d ,治愈时间为 4 0d。本组 4 6例中治愈 4 4例 ,好转 2例 ,治愈率为95 6 % ,有效率为 1 0 0 %。Objective To discuss the curative effect of contradrainage and thread drawing method to treat high anal horseshoe fistula (HAHS). Methods Under lumbar or epidural anesthesia, 46 cases of HAHS patient were treated with contradrainage and thread drawing method. Results The average hospitalized time was 27 days with healing time was 4 days. 44 cases were healed and 2 cases recovered with curative rate 95.6%. The effective rate was 100%. Conclusion The contradrainage and thread drawing method might be effective for HAHS.

关 键 词：普通外科学 对口引流 挂线 高位马蹄瘘 

分 类 号：R657.16[医药卫生—外科学]