摘要
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.
出处
《临床医学进展》
2023年第6期9133-9139,共7页
Advances in Clinical Medicine
