肛瘘

Methods The clinical data of 15 patients with anastomotic leakage underwent anterior excision of rectal cancer were retrospectively analyzed.

对15例直肠癌保肛术后出现吻合口瘘的病历资料进行回顾性分析。

Results 185 patients accepted anterior excision of rectal cancer, 15 patients developed anastomotic fistula. 13 patients were cured with effective pelvic drainage and 2 cases with ileostomy.

结果 对185例直肠癌行前切除保肛手术，15例出现吻合口瘘，13例通过及时有效的引流、局部处理治愈，2例经结肠造口治愈。

Results Among 12 cases, there were 5 male and 7 female cases, and age ranged from 14 to 56 years old. Six patients had the history of delayed defecation. Two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. Colostomy was performed first in 7 cases. Surgical procedures included Swenson operation in 3, Duhamel in 2, Rehbein in 3, Soave operation in one and stapler anastamosis in 2 cases.

结果 男5例，女7例，年龄14～56岁，6例有胎粪排出延迟病史，2例误诊为乙状结肠扭转，6例诊断为急性肠梗阻，其中7例行结肠造瘘，3例行Swenson手术，2例行Duhamel手术；3例行Rehbein手术；1例行Soave手术；外院术后复发2例，Swenson手术1例术后出现骶前感染肛周瘘管，余术后排便功能良好。

Six patients had the history of delayed defecation. two cases were misdiagnosed as sigmoid torsion and 6 cases were admitted as acute intestinal obstruction. colostomy was performed first in 7 cases. surgical procedures included swenson operation in 3, duhamel in 2, rehbein in 3, soave operation in one and stapler anastamosis in 2 cases. presacral infection and perianal fistula occurred in one case with swenson operation.

结果 男5例，女7例，年龄14～56岁，6例有胎粪排出延迟病史，2例误诊为乙状结肠扭转，6例诊断为急性肠梗阻，其中7例行结肠造瘘，3例行swenson手术，2例行duhamel手术；3例行rehbein手术；1例行soave手术；外院术后复发2例，swenson手术1例术后出现骶前感染肛周瘘管，余术后排便功能良好。

The disposable ringed cystiform closed anal tube was used to 58 cases of analconserving operation,34 cases of sigmoid fistulation and 68 cases of blind enema and drug effusion and compared with cases of the use of single-cavity cylindrical anal tube in respect of anastomotic leakage,infection of fistula and drug effusion.

将一次性环囊肛管用于58例保肛式手术、34例乙状结肠造瘘手术及68例肛管排气及药物灌肠病人，并与应用单腔圆柱式肛管病人从吻合口瘘、吻合口狭窄、造瘘口感染、药液外溢、肛管脱出发生率方面进行比较。

For 40 more years, we have insisted in using the combination method of Chinese Traditional Medicine and Western Medicine and Cured 500,000 more patients who suffered from some diseases as internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, anal fissure, anal fistula, perianal abscess, intestinal polyp, prolepses of rectal mucosa, costingpation, proctatresia, stricture of anus, rectoperineal fistula, rectal carcinoma, carcinoma of colon, proctitis, colitis, etc.

四十多年来，我们坚持用中西医结合的方法，为五十多万名患有内痔、外痔、混合痔、肛裂、肛周脓肿、肠息肉、直肠粘膜脱垂、便秘、肛门闭锁、肛门狭窄、直肠阴道瘘、直肠癌、结肠癌、直肠炎、结肠炎的患者解除了病痛。

The technique of transanal repair in combination with transvaginal repair for the treatment of rectovaginal fistula complicated by anterior resection is effective and safe, no requirement to divide the perineal body and anal sphincter, with less postoperative complications and no incontinence.

采用经肛结合经阴道修补治疗直肠癌前切除引起的单纯性直肠阴道瘘是安全有效的，不需要切断会阴体和肛门括约肌，并发症少，无肛门失禁发生。

Adop ting the low cutting and high thread drawing chinese herbal fumigation and washing ter operation methods 68 comp lex high anal fistula patients of which 65 patients cured by the first time tients cured by the second time 1 cured by the third time the cure rate was 100%.

采用高位挂线低位切开缝合术配合术后中药坐浴治疗68例高位复杂性肛瘘 1次治愈125例 2次治愈2例 3次治愈1例治愈率100%。

Objective:Observe the effects of the anal fistula treatment with acellular dermal matrix.

目的：研究脱细胞真皮基质材料治疗肛瘘的临床效果。

the prophylaxis group and not prophylaxis group has contrast the stoma fistulae happen in the low-set rectal cancer protected anus operation.

低位直肠癌保肛手术中施行预防性末端回肠造瘘患者，吻合口瘘的发生情况与未施行预防组进行对比观察。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。