摘要
肛瘘是常见的肛周疾病之一。如何在降低复发率和选择适宜的治疗方式之间寻找平衡,提高肛瘘患者的生活质量,一直是肛瘘治疗的难点。近年来国内外学者对括约肌间瘘管结扎术(LIFT)及括约肌间瘘道结扎联合肛瘘栓(LIFT-plug)多有报道;生物材料的使用、视频辅助肛瘘治疗技术(VAAFT)、激光融合技术的运用及自体注射等新技术实现了对传统技术的改良并展示出其优势性;借助电子计算机断层扫描(CT)、直肠内超声(EUS)、磁共振成像(MRI)等辅助手段诊断评估,选择适宜的治疗方式,施行肛瘘的个体化综合治疗为未来肛瘘临床诊疗的发展趋势。笔者就该领域的进展进行综述。
Anal fistula is one of the common perianal diseases.How to find a balance between reducing the recurrence rates and choosing an appropriate treatment method so as to improve the patients'quality of life is always a difficult issue in the treatment of anal fistula.In recent years,the ligation of intersphincteric fistula tract (LIFT)and its combination with anal fistula plug (LIFT-plug)have been reported many times by scholars at home and abroad. The use of biological materials,video-assisted anal fistula treatment (VAAFT),laser fusion technique,and new technologies such as self-injection have realized the improvement of conventional methods,and also shown its advantages.With the aid of diagnosis and assessment by assistant approaches such as electronic computer tomography (CT),endoanal ultrasound (EUS),magnetic resonance imaging (MRI),appropriate treatment selection and performance of individualized comprehensive therapy is development trend of the clinical treatment of anal fistula in the future.-he authors address the issues in this field.
作者
樊文彬
侯艳梅
赵安琪
康健
杨向东
FAN Wenbin;HOU Yanmei;ZHAO Anqi;KANG Jian;YANG Xiangdong(Clinical Medical College,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;Department of Proctology, Affiliated Hospital,Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China;Chengdu Anorectal Hospital,Chengdu 610031,China)
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2018年第12期1603-1608,共6页
China Journal of General Surgery
基金
四川省中医药管理局科学技术研究专项基金资助项目(2018QN021)
