肛瘘的挂线治疗(综述)（Seton therapy for anal fistula (review)）.docVIP

肛瘘的挂线治疗(综述)（Seton therapy for anal fistula (review)） Seton therapy for anal fistula (review) Anal fistula is common surgical refractory disease, the main purpose of treatment is to cure the fistula, drainage of pus, protect the sphincter integrity and anal function. Most of low anal fistula by incision or excision can achieve the purpose of cure. At the same time, anal function can be protected. Because 1/3. only involved the sphincter but low fistula treatment of high complex anal fistula is a tricky fistula after when anal sphincter 1/2, simple fistula incision can cause anal incontinence. In view of this, this patient underwent sphincter preserving surgery, including anal rectal advanced flap inside the mouth closed, perianal fistula resection by skin repair, high (DIG) sphincter repair, the traditional method is the most simple thread. Seton (Seton) the term originated from the Latin word seta, meaning animal bristles, now refers to any material, through the fistula including silk, nylon, polyester, rubber, silicone rubber and plastic, metal wire and wire (herbal medicine twist). Hanging line can be relaxed for signs hanging line and promote fibrosis effect of short and long term drainage treatment. It can be gradually tight line in order to achieve the purpose of cutting the sphincter. Slow line drugs is the main function of the antibacterial, anti-inflammatory and promote healing of anal fistula. History: the exact origin of surgical thread is not clear. In 600 BC India surgeon Sushruta the first application of drug therapy, drug line method is to insert into the fistula. 460 BC - 377 years Hippocrates advocate thread cutting method, Albucasis in Eleventh Century after the seton fistulotomy. In 1376, Arderne proposed an improved two phase Seton procedure for the treatment of anal fistula. In 1873, Vietnam Dittel first reported the advantages of using the India rubber ligature to treat anal fistula. 18 months later, St Mark s Hospital William Allingham was insp