结直肠肛门外科2024,Vol.30Issue(3) :392-396.DOI:10.19668/j.cnki.issn1674-0491.2024.03.030

经肛括约肌间切开术治疗肛瘘的临床研究进展

Clinical research progress of transanal opening of intersphincteric space in the treatment of anal fistula

韩静 郑雪平
结直肠肛门外科2024,Vol.30Issue(3) :392-396.DOI:10.19668/j.cnki.issn1674-0491.2024.03.030

经肛括约肌间切开术治疗肛瘘的临床研究进展

Clinical research progress of transanal opening of intersphincteric space in the treatment of anal fistula

韩静 1郑雪平2
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作者信息

  • 1. 南京中医药大学 江苏南京 210029
  • 2. 南京中医药大学附属南京中医院肛肠中心 江苏南京 210001
  • 折叠

摘要

肛瘘是一种常见的肛肠外科疾病,多由肛腺感染引起.外科手术是目前肛瘘主流的治疗方式,但同时兼顾保护肛门括约肌功能和提高治愈率是肛瘘手术发展的难题.经肛括约肌间切开术是治疗肛瘘的保留括约肌术式之一,全程保护肛门括约肌功能,并发症少,是当今肛瘘治疗的一种微创术式,受到广泛关注.本文通过整理和总结近年来经肛括约肌间切开术治疗肛瘘的相关文献,基于肛瘘发病机制及经肛括约肌间切开术的理论基础,综合阐述了近年来经肛括约肌间切开术治疗肛瘘的研究及临床进展,从而进一步推动经肛括约肌间切开术的优化与发展.

Abstract

Anal fistula is a common anorectal surgical disease,mostly caused by anal gland infection.Surgical interven-tion is currently the mainstream treatment for anal fistula,but balancing the protection of anal sphincter function and improving the cure rate remains a challenge in the development of anal fistula surgery.Transanal opening of the inter-sphincteric space(TROPIS)is one of the sphincter-preserving surgical procedures for the treatment of anal fistula.It fully protects the function of the anal sphincter with few complications,making it a minimally invasive surgical approach for the treatment of anal fistula that has received widespread attention.This article summarizes the relevant literature on the treatment of anal fistula with TROPIS in recent years.Based on the pathogenesis of anal fistula and the theoreti-cal foundation of TROPIS,it comprehensively elaborates the research and clinical progress of TROPIS in the treatment of anal fistula in recent years,thereby further promoting the optimization and development of TROPIS.

关键词

肛瘘/经肛括约肌间切开术/保留括约肌术式

Key words

anal fistula/transanal opening of intersphincteric space/sphincter-preserving surgical procedure

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基金项目

南京市"十三五"规划名中医工作室建设项目(ZXP-2019-NJ)

南京市卫生科技发展项目(YKK21197)

出版年

2024
结直肠肛门外科
广西医科大学

结直肠肛门外科

CSTPCD
影响因子:0.957
ISSN:1674-0491
参考文献量9
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