Lux N, Athanasiadis S
Coloproktologische Abteilung, St. Joseph-Hospitals Duisburg-Laar.
Chirurg. 1991 Jan;62(1):36-41.
A prospective study was carried out on 46 patients with anal fistula to evaluate clinical aspects and anal manometry. In 26 patients a high fistula was diagnosed (type II, n = 20; type III, n = 6). In those cases the sphincter-saving technique with primarily muscle suturing was used. 70% (n = 14) of type II and 100% (n = 6) of type III had been operated on before. Out of 26 five patients (19.2%) with high anal fistula developed incontinence in the case of watery stools postoperatively, 4 of those only once in a while. There was no complaint about incontinence for solid stool at all.
对46例肛瘘患者进行了一项前瞻性研究，以评估临床情况和肛门测压。26例患者被诊断为高位肛瘘（Ⅱ型，n = 20；Ⅲ型，n = 6）。在这些病例中，采用了主要进行肌肉缝合的括约肌保留技术。Ⅱ型患者中有70%（n = 14）和Ⅲ型患者中有100%（n = 6）之前接受过手术。26例高位肛瘘患者中有5例（19.2%）术后出现水样便失禁，其中4例只是偶尔出现。对于固体粪便，完全没有失禁的主诉。
