姬兴隆(安徽涡阳县中医院痔瘘科医师):对于高位肛瘘以往有两种不同的概念。一种是依据瘘道在齿状线的垂直位置和水平位置,将瘘道行经齿状线水平面以上的称为高位肛瘘,以下的称为低位肛瘘。另一种则以瘘道是否越过最高的肛门直肠部控制排便的肌层为界,将瘘道越过肛提肌上方的叫高位肛瘘,在肛提肌以下的叫低位肛瘘。我们讨论的是后 Ji Xinglong (Anhui Guoyang Hospital of Traditional Chinese Medicine hemorrhoids fistula): In the past there are two different concepts of high anal fistula. One is based on the vertical position and horizontal position of the fistula in the dentate line, the fistula above the level of the dentate line called the high fistula, the following is called the low fistula. The other is the fistula is over the highest part of the anorectal control defecation muscle sector, the fistula over the levator ani above the high fistula called levator ani in the following called the low anal fistula. We are discussing later