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郑雪平管理肛瘘术后创面经验

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郑雪平教授认为,肛瘘手术固然重要,但术后创面的愈合才是成功的关键,正常生理情况下创面愈合主要经历四个阶段:止血、炎症、增殖和重塑.受一些细胞应激状态及外界因素的影响,使得这四个阶段并不能顺利衔接,当炎症细胞功能过分活跃且炎症因子大量释放时,创面将不能顺利愈合,甚至产生恶化,而这些症状往往在肛瘘术后的患者中最为常见.郑教授认为主要影响因素有以下四个方面:(1)手术因素;(2)感染因素;(3)排便因素;(4)个体因素.此外,郑教授还非常重视肛瘘术后创面的管理,治疗时保持通畅引流,灵活运用中药外治法及内治法,能够有效促进创面愈合,提高肛瘘治疗的整体疗效.
Zheng Xueping's Experience of Managing Postoperative Wounds After Anal Fistula Surgery
Professor Zheng Xueping believes that though the surgery for anal fistula is important,the key to successful treatment lies in the postoperative wound healing.Under normal physiological conditions,wound healing goes through four stages:hemostasis,inflamma-tion,proliferation,and remodeling.However,external factors and cellular stress can disrupt the smooth progression of these stages.When inflammatory cells become excessively active and release large amounts of inflammatory factors,the wound will fail to heal properly,and may even deteriorate.These issues are particularly common in patients following anal fistula surgery.According to Professor Zheng,the major influencing factors include:(1)Surgical factors;(2)Infection factors;(3)Bowel movement factors;(4)Individual factors.In addition,Professor Zheng places great importance on managing the postoperative wound,emphasizing the need to maintain smooth drain-age,and the flexible use of both external and internal TCM treatments,which can effectively promote wound healing and improve the o-verall therapeutic outcome for anal fistula treatment.

anal fistulawound healingpostoperative wound managementZheng Xueping

殷莉娜、严巧婧、郑雪平

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南京中医药大学,江苏 南京 210029

南京中医药大学附属南京中医院,江苏 南京 210022

江苏省中医肛肠疾病临床医学创新中心,江苏 南京 210022

肛瘘 创面愈合 术后创面管理 郑雪平

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(12)