摘要
目的 探讨治疗高位肛瘘的有效疗法。方法 治疗组 12例 ,采用肛直环下瘘管切除 ,环内隧道式切除瘘管及内口 ,封闭内口及隧道残腔 ,游离内口处粘膜向下牵拉覆盖于已封闭内口下方肛白线处。完整保留肛门直肠环 ;对照组 12例 ,采用传统低位切开高位挂线治疗。结果 两组治愈率比较差异无显著意义(P >0 0 5 ) ,但在术后主要并发症的发生率以及肛管压力的影响上 ,差异有显著意义 (P <0 0 1)。结论 内口封闭 ,肛直环内隧道式切除管壁 ,可缩短疗程 ,减轻痛苦 。
Objective To explore the effective method in the treatment of high anal fistula.Methods The experiment group of 12 cases were treated with the division of low fistula,tunnel-style divivion of high anal fistula and the internal openion,closing the internal opening and remnant antrum of the tunnel dissociatecl internal-opening rectum and pull it downwards to make it cover the low tissue of which the internal opening was closed,preserving the muscle ring which controls defecation.The other group of 12 cases were treated with traditional low incision & high thread-drawing.Results There was no remarkable difference between two groups in cure rate(P>0.05),but there was significant difference in the occurrence rate of the main complications after the operation and affection of sphincter pressure.Conclusion Closing of internal opening,tunnel-style divirion of pipe wall in the muscle ring which controls defecation could shorten treatment course,reduce suffering and prevent complications.
出处
《中国临床保健杂志》
CAS
2004年第3期178-180,共3页
Chinese Journal of Clinical Healthcare
关键词
高位肛瘘
内口封闭
隧道切除
High anal fistula
Closing of internal opening
Tunnel-style division
