肛瘘是发生在肛门直肠周围的脓肿溃破或切口引流的后遗病变,而高位复杂性肛瘘是其中最难治疗的一种,严重影响患者的生活质量。临床上可根据患者的病史、典型症状、体格检查、影像学检查来诊断高位复杂性肛瘘,近年来保留括约肌相关的术式和相关技术成为研究的热点,如经括约肌间切开术、括约肌间瘘管结扎术、直肠黏膜瓣推移术、视频辅助肛瘘治疗技术、纤维蛋白胶与肛瘘栓治疗,但传统手术及其改良术式依然发挥着很大的作用。 Anal fistula is a posterior lesion of abscess rupture or incision drainage around the rectum, and high complex anal fistula is one of the most difficult to treat, which seriously affects the quality of life of patients. Clinically according to the patient’s history, typical symptoms, physical examination, im-aging examination to diagnose high complexity anal fistula, in recent years, sphincter related tech-nique and related technology become a research hotspot, such as the sphincter incision, sphincter fistula ligation, rectal mucosal flap, video auxiliary anal fistula treatment technology, fibrin glue and anal fistula bolt treatment, but the traditional surgery and improved operation still plays a big role.
高位复杂性肛瘘,发病机制,辅助检查,手术治疗, High Complexity of anal Fistula
Pathogenesis
Auxiliary Examination
Surgical Treatment
摘要
Research Progress in the Treatment of High and Complicated Anal Fistula
Fei Ao, Ming Lu*
Proctology Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang
Received: May 7th, 2023; accepted: May 31st, 2023; published: Jun. 9th, 2023
ABSTRACT
Anal fistula is a posterior lesion of abscess rupture or incision drainage around the rectum, and high complex anal fistula is one of the most difficult to treat, which seriously affects the quality of life of patients. Clinically according to the patient’s history, typical symptoms, physical examination, imaging examination to diagnose high complexity anal fistula, in recent years, sphincter related technique and related technology become a research hotspot, such as the sphincter incision, sphincter fistula ligation, rectal mucosal flap, video auxiliary anal fistula treatment technology, fibrin glue and anal fistula bolt treatment, but the traditional surgery and improved operation still plays a big role.
Keywords:High Complexity of anal Fistula, Pathogenesis, Auxiliary Examination, Surgical Treatment
敖 非,路 明. 高位复杂性肛瘘治疗研究进展Research Progress in the Treatment of High and Complicated Anal Fistula[J]. 临床医学进展, 2023, 13(06): 9133-9139. https://doi.org/10.12677/ACM.2023.1361279
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