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目的 :探讨用介入方法治疗复杂性肛门直肠瘘的具体方法和疗效。方法 :对 5例经瘘管造影证实的复杂性肛门直肠瘘进行治疗。具体方法为在炎症完全控制后 ,将明胶海棉碎屑与 5 %鱼肝油酸钠混悬液由外口注入瘘管 ,使瘘管完全被充填 ,油纱布包扎。如未愈 ,5～ 7d后可重复上述治疗 ,直至痊愈。结果 :5例患者均达到了临床治愈。 4例一次治愈 ;1例 2次治愈 ,治疗间隔时间为 6 d。治疗过程中患者无疼痛、无发烧。随访 1～ 2 .5年无复发。结论 :介入疗法治疗肛瘘方法简单 ,疗效确切 ,且无需特殊的设备和药品 ,不会造成严重并发症。适合于各级医院推广应用
Objective: To explore the specific method and effect of interventional treatment for complex anorectal fistula. Methods: Five cases of complicated anorectal fistula confirmed by fistula angiography were treated. The specific method for the complete control of inflammation, the gelatin sponge scraps and 5% sodium morrhuate injected into the fistula by the external port, the fistula is completely filled, oil gauze bandage. If healed, 5 ~ 7d after the above treatment can be repeated until healed. Results: All 5 patients achieved clinical cure. 4 cases were cured at one time; 1 case was cured twice, the treatment interval was 6 days. No pain or fever during treatment. Follow-up 1 ~ 2.5 years without recurrence. Conclusion: Interventional therapy for anal fistula method is simple, effective, and without special equipment and medicines, will not cause serious complications. Suitable for all levels of hospital promotion and application