Salamov K N, Dul'tsev Iu V, Boguslavskiĭ L S
Vestn Khir Im I I Grek. 1975 Nov;115(11):44-50.
The number of recurrences ranged from 2.1% to 14.3% depending on the degree of fistula complexity. Fistulectomy with suturing of its stump by dosage sphincterotomy is indicated in case of extrasphincteric fistulas without cicatricial and inflammatory changes in the intestinal wall and pararectal cellular spaces. Fistulectomy with suturing of the sphincter should be accomplished only in patients with non-branching extrasphincteric fistulas without inflammatory changes in pararectal cellular spaces. The technic of ligation may be employed in most complex forms of rectal extrasphincteric fistulas. A variant of surgery when ligature is put during the operative procedure and the wound is partially closed makes it possible to obtain adequate functional results.
复发率在2.1%至14.3%之间，具体取决于肛瘘的复杂程度。对于肠壁和直肠旁细胞间隙无瘢痕和炎症改变的括约肌外肛瘘，宜采用剂量括约肌切开术缝合瘘管残端的瘘管切除术。仅在直肠旁细胞间隙无炎症改变的非分支性括约肌外肛瘘患者中进行括约肌缝合的瘘管切除术。结扎技术可用于最复杂形式的直肠括约肌外肛瘘。术中进行结扎并部分关闭伤口的手术变体能够获得足够的功能效果。
