高位复杂性肛瘘的治疗进展

阐述了在治疗高位复杂性肛瘘方面的新方法和技术，介绍了改良的挂线术、保留括约肌的术式和封堵注入术的治疗方法和效果。改良的挂线引流术式仍是治疗高位复杂性肛瘘的主要方法；新近出现的保留括约肌的手术方法为减少肛门功能失禁、彻底治疗高位复杂性肛瘘提供了可能；封堵填充术因其操作简单、较好的治愈率等特点正成为非手术治疗的主要方法。

Progress in the treaetment of high complex anal fistula

The aim of the paper is to sumarrize recent methods and techniques in the treatment of complex anal fistula of superior position, introduce modified thread-drawing technique, sphincter-preserving therapies and block and injection technique. Improved thread-drawing is still the main method to treat complex anal fistula of superior position. Sphincter-preserving therapies provide the possibility of reducing anal incontinence function and curing complex anal fistula of superior position radically.Block and injection technique is becoming the main method of non-surgical treatment because of its simple operation, better curative ratio and other characteristics.