摘要目的：比较肛管内主管挂线联合肛门外瘘管切除缝合或旷置治疗高位肛瘘的疗效。方法对65例行肛管内主管挂线联合肛门外瘘管切除缝合术与62例行肛管内主管挂线联合肛门外瘘管旷置术的疗效进行对比分析。结果缝合组的总有效率为90.77%，显著高于旷置组（70.97%），差异有统计学意义（P ﹤0.05）；缝合组缝合处愈合时间和 Wexner 评分显著低于旷置组，差异有统计学意义（P ﹤0.05）；缝合组复发率（1.54%）显著低于旷置组（9.68%），差异有统计学意义（P ﹤0.05）。结论肛管内主管挂线联合肛门外瘘管切除缝合术治疗高位肛瘘疗效显著，可加快切开愈合，提高肛门功能恢复。

abstractsObjective To compare the effects of internal anal competent seton combined with external anal fistula resection and suture or exclusion on high anal fistula. Methods The curative effect of 65 cases underwent internal anal competent seton combined with external anal fistula resection and su-ture and 62 cases underwent internal anal competent seton combined with external anal fistula exclusion were comparative analyzed. Results The total efficiency of suture group was 90. 77% ,which was signif-icantly higher than that of the exclusion group(70. 97% ),the difference was significant(P ﹤ 0. 05). The suture wound healing time and Wexner score of suture group were significantly lower than those of exclu-sion group(P ﹤ 0. 05). The recurrence rate of suture group(1. 54% )was significantly lower than that of the exclusion group(9. 68% ),the difference was significant(P ﹤ 0. 05). Conclusions Internal anal competent seton combined with external anal fistula resection and suture in the treatment of high anal fis-tula significant can accelerate the healing of incision and improve the recovery of anal function.