【摘要】 目的探讨治疗各种类型肛瘘的最佳手术方式,减少术后并发症和复发率。方法临床观察不同类型肛瘘247例,采用切开引流手术方法,部分患者行挂浮线治疗,观察其近远期疗效及并发症。结果术后平均住院时间3.5d,敞开切口的愈合时间14～52d(平均21d)。痊愈241例,无效6例。6例病理报告结核性肛瘘。结论低位瘘管切除加高位挂浮线,术中避免损伤肛周正常结构,手术创口敞开引流是治疗各种类型肛瘘和减少术后并发症和复发率的最为有效的手术方法。对结核性肛瘘实行局部加全身抗结核治疗疗效高。更多还原

【Abstract】 Objective To probe the best operation manner of all kinds of anal fistula and reduce the complication and recurrence rate after operation.Methods A total of 247 patients with different kinds of anal fistula were observed in clinic.Cutting and draining was applied in surgery, and part of the patients received treatment of hanging float line.The short and long-term curative effect and complication were observed.Results The average time in hospital after operation was 3.5 days.The healing time of opening wound was 16～75 days(average 45 days).Two hundrend and forty-one cases healed,6 cases were of no effect.Six cases were tuberculo-anal fistula. Conclusion Cutting low location fistula and hanging float line on superior position of anal fistula, avoiding normal structure of crissum injured in operation,opening and draining the surgery wound was the most effective surgical method in treating all kinds of anal fistula and reducing the complication and rate of recurring after operation.To the tuberculo-anal fistula,local and systemic anti-tuberculosis treatment was high effectual in treating the tuberculo-anal fistula.更多还原