切挂支管药线引流术治疗高位复杂性肛瘘疗效观察  

The Curative Effect of Treatment of High Complex Fistula-in-Ano Using Incision Cutting Seton and Ayurvedic Thread Drainage of Branch Tube

作　　者：唐学贵[1] 李敏[1] 吴映书[2] 

机构地区：[1]川北医学院附属医院,四川南充637000 [2]四川省中医药研究院附院,四川成都610041

出　　处：《大肠肛门病外科杂志》2005年第1期57-58,共2页Journal of Coloproctological Surgery

摘　　要：目的:寻求更适合高位复杂性肛瘘的手术方式,提高手术成功率,保护肛门功能,减少术后并发症和后遗症。方法:在腰俞穴麻醉或局部麻醉下,通过探针、染色、牵拉等法寻找肛瘘内口,放射状切开与内口相通的瘘管皮肤及部分外括约肌并留置肛管直肠环挂线,切口呈开放状引流,探针自外口探至引流切口内并将药线穿过系上,抗炎、换药至愈。结果:117例中,198例(83.76 % )一次性治愈,19例(16 .2 3% )行二次切开缝合治愈。疗程最长6 0 d,最短19天,平均31.6 d。随访期(6个月)复发1例(0 .85 % ) ,术后出现肛门感觉性失禁、污染内裤7例(5 .98% )。结论:切挂支管药线引流术一次性治愈率高,复发率低,并发症及后遗症发生少且不严重。虽然疗程较长。Objective： To seek a good operation for high complex fistula-in-ano,in order to improve the curative effect, protect the anal functions and reduce the postoperative complication. Methods：All patients with high complex fistula-in-ano underwent the operation of using incision cutting seton and ayurvedic thread drainage of branch tube. Results ：Of 117 cases of patients, 98（83.76%） underwent one operation and 19（16.23%） underwent second operation. Temporary incontinence to liquid and soiling occurred in 7 （5. 98%）,recurrence in 1（0.85%） six months after operation. Conclusion：The operation of using incision cutting seton and ayurvedic thread drainage of branch tube has a high curative rate ,less recurrence rate and postoperative complication. It is a good procedure for high complex fistula-in-ano.

关 键 词：高位复杂性肛瘘 切挂药线引流 疗效观察 

分 类 号：R657.16[医药卫生—外科学]