摘要
手术治疗目前是根治肛瘘的唯一方法。其诊治关键为查明病因,正确评估并处理原发内口、外口及瘘管。一般而言,单纯性及低位肛瘘较易治疗,并发症和后遗症相对较少;而高位复杂性肛瘘治疗难度较大,其治疗的目标为既要治愈肛瘘,又要最大限度保护肛门功能。近年来,国内外学者围绕该目标作了大量的研究工作,取得令人瞩目的新成果。
Anal fistulas require surgical treatment to cure the fistula.The treatment must be directed by the etiology and anatomy of the fistula.The primary goal of operative treatment of anal fistulain-ano is to obliterate the internal fistulous opening and any associated epithelialized tracks and to preserve anal sphincter function.Generally speaking,it has an extremely high cure rate in simple and low fistulas.But specifically high perianal fistulas,remain a surgical treatment challenge.Anal fistulae management is a balance of effective healing and the risk of incontinence from sphincter division.Several surgical approaches have been described for the management of fistula-in-ano,aimed to minimize the recurrence and to preserve the continence.In recent years,many techniques have,and still are,being developed to improve outcome after surgery.
作者
王浩
谷云飞
Wang Hao;Gu Yunfei(Department of Anorectal Surgery,Jiangsu Privince Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjing University of Chinese Medicine,Nanjing 210029,China)
出处
《中华结直肠疾病电子杂志》
2020年第3期231-235,共5页
Chinese Journal of Colorectal Diseases(Electronic Edition)
基金
江苏省中医消化病临床医学中心(No.BL2014100)。
关键词
肛管
肛瘘
复杂性肛瘘
诊断
治疗
Anal canal
Anal fistula
Complex anal fistula
Diagnosis
Treatment
