肛瘘的挂线（药线）治疗

Ksharsootra (medicated seton) treatment for fistula-in-ano.

作者信息

Mohite J D, Gawai R S, Rohondia O S, Bapat R D

机构信息

Department of General Surgery, Seth G S Medical College, Mumbai.

出版信息

Indian J Gastroenterol. 1997 Jul;16(3):96-7.

PMID:9248180

Abstract

BACKGROUND

Recurrence and incontinence are common after conventional surgery for fistula-in-ano. Medicated seton (ksharsootra) is a time-tested therapy.

METHODS

Seton treatment was given to 114 patients with anal fistulae. The initial loose seton was changed weekly to achieve fistulotomy.

RESULTS

Application of non-medicated seton did not show any cutting action; hence all patients were treated with ksharsootra after 3 weeks. Anal discharge (n = 114) and burning pain (35) were noted in the first 48-72 hours. The cut-out rate was around 1 cm/week, with mean cut-out time 8.3 weeks (range 3-18). All wounds healed well and patients remained ambulatory. Local induration developed in 18 patients; four had an abscess. There was no incontinence or recurrence over a follow-up of 6 months to 2 1/2 years.

CONCLUSIONS

Ksharsootra treatment for anal fistulae is safe and effective, with low complication rates.

摘要

背景

肛瘘传统手术后复发和失禁很常见。药线（ksharsootra）是一种经过时间考验的疗法。

方法

对114例肛瘘患者进行药线治疗。最初的宽松药线每周更换一次以实现瘘管切开术。

结果

应用非药线未显示任何切割作用；因此3周后所有患者均接受药线治疗。在最初的48 - 72小时内观察到肛门分泌物（n = 114）和灼痛（35例）。切除速度约为每周1厘米，平均切除时间为8.3周（范围3 - 18周）。所有伤口愈合良好，患者可自由活动。18例患者出现局部硬结；4例发生脓肿。在6个月至2年半的随访中无失禁或复发情况。