括约肌外侧切开肛瘘栓填塞--一种改良的肛瘘栓技术

摘要

2014年10月，对2例括约肌上型肛瘘患者，术前不进行挂线治疗，在括约肌外侧瘘管转折处切断瘘管，将瘘管分为两部分，分别填塞1枚肛瘘栓并缝合固定，通畅引流。2例全部治愈，术后无并发症，肛门功能良好，外口愈合时间12、13 d，肛缘伤口愈合时间50、45 d。随访8个月，无复发。%[Summary] Two cases of suprasphincteric anal fistula were treated in October 2014.Without preoperative seton insertion, the fistula was cut off at the turning point outside the sphincter muscle and filled with 1 piece of anal fistula plug at both end respectively. Adequate drainage was utilized.The 2 cases were all cured, without complications after the operation.The anal function was normal. The healing time of the external opening was 12 and 13 days, while the healing time of the anal margin wound was 50 and 45 days.No recurrence happened during a follow-up for 8 months.