Elnaim Ali Abdel Latif Khalifa, Wong Michael Pak-Kai, Sagap Ismail
Department of Surgery, Kassala Police Hospital, Kassala, Sudan.
Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Malays J Med Sci. 2022 Feb;29(1):55-61. doi: 10.21315/mjms2022.29.1.6. Epub 2022 Feb 23.
We studied the outcome of cutting seton in the treatment of a high transsphincteric anal fistula in Sudan.
This was a prospective study of high transsphincteric anal fistulas at Kassala Police Hospital, Sudan, over the course of 24 months (2016-2017). The main outcomes measured were recurrence, incontinence and primary healing rates.
The cases of 72 patients treated with cutting seton for high transsphincteric fistula were analysed, with 50 (70%) of the patients being male and 22 (30%) being female. Forty-eight (66.7%) patients required two sessions of seton tightening with a duration of seton treatment of 30 days and 24 (33.3%) patients required three sessions with a duration of seton treatment of 45 days. Only one patient (1.4%) had flatus incontinence. Three (4.2%) patients had minimal bleeding from the seton site and two (2.8%) patients experienced fistula recurrence. Twenty-six (36%) patients achieved complete healing within 30 days, while 36 (54.3%) patients healed within 60 days. The remaining seven (9.7%) patients healed after 60 days. Chronic pain was reported by two (2.8%) patients after complete healing.
In Sudan, cutting seton remains relevant, as it produces minimal incontinence with a low recurrence rate in high transsphincteric fistula treatment.
我们研究了切开挂线疗法治疗苏丹高位经括约肌肛瘘的疗效。
这是一项在苏丹卡萨拉警察医院对高位经括约肌肛瘘进行的前瞻性研究，为期24个月（2016 - 2017年）。主要测量的结果是复发率、失禁率和一期愈合率。
对72例接受切开挂线疗法治疗高位经括约肌肛瘘的患者病例进行了分析，其中男性患者50例（70%），女性患者22例（30%）。48例（66.7%）患者需要进行两次挂线收紧，挂线治疗持续30天，24例（33.3%）患者需要进行三次挂线收紧，挂线治疗持续45天。仅有1例患者（1.4%）出现排气失禁。3例（4.2%）患者挂线部位有少量出血，2例（2.8%）患者出现肛瘘复发。26例（36%）患者在30天内实现完全愈合，36例（54.3%）患者在60天内愈合。其余7例（9.7%）患者在60天后愈合。完全愈合后，有2例（2.8%）患者报告有慢性疼痛。
在苏丹，切开挂线疗法仍然适用，因为在治疗高位经括约肌肛瘘时，它导致的失禁极少，复发率低。
