复杂性肛瘘手术方法对比观察  

Contrast Observation of Therapeutic Effect of Different Operations for Complex Anal Fistula

作　　者：张孟林[1] 王惠君[2] 杨勇军[2] 吴至久[2] 

机构地区：[1]四川宜宾市第一人民医院肛肠科,644000 [2]川北医学院附属医院痔瘘科,四川南充637000

出　　处：《结直肠肛门外科》2006年第1期36-38,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的：探讨不同手术方法治疗复杂性肛瘘的临床疗效和优点。方法：回顾性分析2000年3月至2004年12月复杂性肛瘘患者135例，分别进行切开挂线术、切缝内口引流术、瘘管摘除缝合术、瘘管旷置术等不同手术方法的处理。结果：随访5～10个月（平均7．2个月），切开挂线术37例，复发1例，平均愈合时间（20．22±5．24）d；切缝内口引流术32例，复发3例，平均愈合时间（22．84±6．66）d；瘘管摘除缝合术34例，复发5例，平均愈合时间（25．56±7．51）d；瘘管旷置术32例，复发6例，平均愈合时间（30．43±10．72）d。结论：低位复杂性肛瘘多采用切缝内口引流术、瘘管摘除缝合术；高位复杂性肛瘘多采用切开挂线术、瘘管旷置术。Objective： To evaluate the effect and advantages of different operative procedures for complex anal fistula. Methods：From April 2000 to June 2004, 135 cases with complex anal fistula were analyzed respectively who were treated by incision and thread drawing, incision-suture of internal opening plus drainage, fistulectomy and primary suture, fistulotomy. Results：All cases were followed-up for 5 to 10 months （average 7.2 months）. 37 cases treated by incision and thread drawing with 1 recurred（average healing time 20.22±5.24 days） ; 32 cases by incision-suture plus internal opening drainage with 3 recurred（average healing time 22.84±6.66 days） ; 34 cases by fistulectomy and primary suture with 5 recurred（ average healing time 25.56±7.51 days） ;32 cases by fistulotomy with 6 recurred（ average healing time 30.43±10. 72 days）. Conclusion：Low complex anal fistula usually can be treated by incision-suture plus interal opening drainage or fistulectomy and primary suture, and high complex anal fistula by incision and thread drawing or fistulotomy.

关 键 词：复杂性肛瘘 手术 治疗 瘘管摘除缝合术 复发 

分 类 号：R657.1[医药卫生—外科学]