坐骨肛管脓肿后遗瘘管,穿过内括约肌浅部和深部或二者之间、或向上而累及肛管直肠环,瘘管外口距肛门较远(约5厘米),常有数个,并有支管互相连通.称为高位肛瘘(包括蹄铁形肛瘘)。此种肛瘘多认为不适用坦线疗法,一般手术又较复杂,有时需分期进行,如处理不当,常可复发,甚至引起肛门狭窄或大便失禁等严重并发症。我们自1962年1月至1986年12月,采用挂线法治疗高位肛瘘36例,效果较满意,今报告如下: Ischial bone after anal abscess fistula, through the internal sphincter shallow and deep or between the two, or up and involving the anorectal ring, fistula outside the mouth farther away from the anus (about 5 cm), often several, and there Branch pipe connected to each other, known as the high anal fistula (including the anal fistula). Such anal fistula and more that do not apply straight line therapy, the general surgery and more complicated, and sometimes need to be staged, such as improper handling, often relapse, and even lead to severe anal stenosis or fecal incontinence and other serious complications. We from January 1962 to December 1986, the use of hanging line treatment of high fistula in 36 cases, the effect is more satisfactory, the report is as follows: