虚实双挂线微创治疗高位肛瘘136例疗效观察

对136例高位肛瘘患者应用橡皮筋对肛瘘高位部分实挂（扎紧橡皮筋）,对低位部分虚挂（结扎橡皮筋但不扎紧）治疗,一次治疗的治愈者133例,假性愈合2例,复发1例,治愈率97.8％（133/136）.虚实双挂线微创手术治疗高位肛瘘创伤轻微、痛苦小、愈合快、疗程短,保证了肛门功能正常和肛门皮肤完整性,临床疗效满意.

Micro-traumatic surgical procedure of loose seton and cutting seton in the treatment of high anorectal fistulae of 136 cases

To explore the therapeutic effect of micro-traumatic surgery of loose seton and cutting seton by rubber bands in the treatment of high anorectal fistulae.Application of cutting seton （truss rubber bands） implemented the high part of fistulae and loose seton （ligation rubber band but non-fastened） for the low part of fistulae.133/136 patients undergoing micro-traumatic surgery were cured by one operation,2 cases had pseudo-healing and there was 1 recurrent case.And the curative rate was 97.8%.The microtraumatic surgery of loose seton and cutting seton by rubber bands in the treatment of high anorectal fistula has such multiple advantages as small incision,minor trauma,lesser pain,faster healing and a shorter course of treatment.And it may preserve the proper anal function and the integrity of anal skin.And its clinical efficacy is satisfactory.