瘘管切开术

Methods:from april 2000 to june 2004, 135 cases with complex anal fistula were analyzed respectively who were treated by incision and thread drawing, incision suture of internal opening plus drainage, fistulectomy and primary suture, fistulotomy.results:all cases were followed up for 5 to 10 months(average 7.2 months).

回顾性分析2000年3月至2004年12月复杂性肛瘘患者135例，分别进行切开挂线术、切缝内口引流术、瘘管摘除缝合术、瘘管旷置术等不同手术方法的处理。

Methods:From April 2000 to June 2004, 135 cases with complex anal fistula were analyzed respectively who were treated by incision and thread drawing, incisionsuture of internal opening plus drainage, fistulectomy and primary suture, fistulotomy.Results:All cases were followedup for 5 to 10 months(average 7.2 months).

回顾性分析2000年3月至2004年12月复杂性肛瘘患者135例，分别进行切开挂线术、切缝内口引流术、瘘管摘除缝合术、瘘管旷置术等不同手术方法的处理。

Cases treated by incision and thread drawing with 1 recurred(average healing time 20.22±5.24 days); 32 cases by incision suture plus internal opening drainage with 3 recurred(average healing time 22.84±6.66 days); 34 cases by fistulectomy and primary suture with 5 recurred( average healing time 25.56 ±7.51 days);32 cases by fistulotomy with 6 recurred(average healing time 30.43±10.72 days).

结果：随访5～10个月(平均7 2个月)，切开挂线术37例，复发1例，平均愈合时间(20 22±5 24)d；切缝内口引流术32例，复发3例，平均愈合时间(22 84±6 66)d；瘘管摘除缝合术34例，复发5例，平均愈合时间(25 56±7 51)d；瘘管旷置术32例，复发6例，平均愈合时间(30 43±10 72)d。

Low complex anal fistula usually can be treated by incisionsuture plus interal opening drainage or fistulectomy and primary suture, and high complex anal fistula by incision and thread drawing or fistulotomy.

低位复杂性肛瘘多采用切缝内口引流术、瘘管摘除缝合术；高位复杂性肛瘘多采用切开挂线术、瘘管旷置术。

Cases treated by incision and thread drawing with 1 recurred(average healing time 20.22±5.24 days); 32 cases by incision suture plus internal opening drainage with 3 recurred(average healing time 22.84±6.66 days); 34 cases by fistulectomy and primary suture with 5 recurred( average healing time 25.56 ±7.51 days);32 cases by fistulotomy with 6 recurred(average healing time 30.43±10.72 days).conclusion:low complex anal fistula usually can be treated by incision suture plus interal opening drainage or fistulectomy and primary suture, and high complex anal fistula by incision and thread drawing or fistulotomy.

结果：随访5～10个月(平均7 2个月)，切开挂线术37例，复发1例，平均愈合时间(20 22±5 24)d；切缝内口引流术32例，复发3例，平均愈合时间(22 84±6 66)d；瘘管摘除缝合术34例，复发5例，平均愈合时间(25 56±7 51)d；瘘管旷置术32例，复发6例，平均愈合时间(30 43±10 72)d。结论：低位复杂性肛瘘多采用切缝内口引流术、瘘管摘除缝合术；高位复杂性肛瘘多采用切开挂线术、瘘管旷置术。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。