Matos D, Lunniss P J, Phillips R K
Department of Surgery, St Mark's Hospital, London, UK.
Br J Surg. 1993 Jun;80(6):802-4. doi: 10.1002/bjs.1800800651.
An intersphincteric approach has been developed that allows complete sphincter preservation in some patients with high fistulas. This operation in 13 patients (eight trans-sphincteric, five suprasphincteric tracks) has resulted in complete success in seven, partial success (ultimate sacrifice of the internal anal sphincter) in two and failure in four. When the operation is successful continence is better than after failed procedures.
一种括约肌间入路已被研发出来,该方法可使部分高位肛瘘患者实现完全保留括约肌。对13例患者实施了该手术(8例经括约肌肛瘘、5例括约肌上肛瘘),其中7例完全成功,2例部分成功(最终牺牲了肛门内括约肌),4例失败。手术成功时,控便能力优于手术失败的情况。