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高位复杂性肛瘘的治疗进展
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Abstract:
本文论述了高位复杂肛瘘的新技术,并对改进挂线、保留括约肌、封闭注射术等进行了介绍。目前,对高位复杂肛瘘的治疗仍以改进的挂线引流方式为主,近年来采用的保留括约肌的手术方式,可以有效地降低患者的肛门功能失禁,彻底治疗高位复杂的肛瘘。
This article discusses the new technologies and techniques for high complex anal fistula, and intro-duces the improvement of thread hanging, sphincter preservation, and closed injection surgery. At present, the treatment of high complex anal fistula mainly relies on improved thread hanging and drainage methods. In recent years, the surgical method of preserving the sphincter has been adopted, which can effectively reduce patients’ anal incontinence and completely treat high com-plex anal fistula.
[1] | 侯毅, 郑雪平, 谭妍妍, 周峰, 皇甫少华, 徐大超, 王燕. 改良TROPIS术对高位肛瘘患者术后肛门功能的长期影响与危险因素分析[J]. 天津医药, 2023, 51(1): 86-91. |
[2] | 刘墩, 刘宁远, 郭红鑫, 孙亚轩, 张燕, 郑丽华. 虚实结合挂线术与传统切开挂线术治疗高位肛瘘的疗效比较[J]. 中国临床医生杂志, 2023, 51(2): 222-224. |
[3] | 吴文宗, 廖星明. 经肛括约肌间切开术治疗高位复杂性肛瘘的临床研究[J]. 中国临床医生杂志, 2022, 50(10): 1206-1208. |
[4] | Zhang, H., Lin, M., Nan, Z., Zhang, Y., Liu, S., Li, A. and Li, G. (2023) Comparing the Efficacy and Safety of Different Thread-Drawing Surgery Method for Treating High Complex Anal Fistula: A Systematic Review and Network Meta-Analysis. International Journal of Colorectal Disease, 38, Article No. 228.
https://doi.org/10.1007/s00384-023-04519-1 |
[5] | 吴洪, 弋坤, 赵红波. 不同切开方式中医挂线疗法治疗肛瘘临床疗效及对肛肠动力学指标和复发的影响[J]. 解放军医药杂志, 2021, 33(1): 108-111. |
[6] | 杨丹丹, 杜光信, 冯群虎. 虚挂线疗法治疗肛瘘64例医疗报告[J]. 中国中西医结合外科杂志, 2020, 26(1): 161-163. |
[7] | Müller, J., Goerdt, A.M., Müller, C.T. and Loske, G. (2022) Endoscopic Negative Pressure Therapy for a Broad Rectal Fistula Us-ing Pull-Through Open-Pore Film and Polyurethane Foam Drains. Endoscopy, 54, E324-E326.
https://doi.org/10.1055/a-1519-6825 |
[8] | 戴秋安, 赵金龙, 朱建红. 内括约肌侧切联合肛周皮瓣移植术治疗32例Ⅲ期肛裂的临床效果观察[J]. 结直肠肛门外科, 2018, 24(2): 149-152. |
[9] | 汪铁钢, 张波. 用括约肌间瘘管结扎术与切开挂线术治疗复杂性肛瘘的效果对比[J]. 当代医药论丛, 2019, 17(3): 44-45. |
[10] | 刘刚. 内镜下分片粘膜切除术与粘膜剥离术治疗结直肠侧向发育型肿瘤疗效及安全性比较[J]. 系统医学, 2020, 5(13): 58-60. |
[11] | 郭晓艺. 大肠侧向发育型肿瘤的内镜特征及治疗方式的选择[D]: [硕士学位论文]. 呼和浩特: 内蒙古医科大学, 2022. |
[12] | Wickham, C.J., Wang, J., Mirza, K.L., Noren, E.R., Shin, J., Lee, S.W. and Cologne, K.G. (2022) “Unresec-table” Polyp Management Utilizing Advanced Endoscopic Techniques Results in High Rate of Colon Preservation. Sur-gical Endoscopy, 36, 2121 -2128. https://doi.org/10.1007/s00464-021-08499-7 |
[13] | 周涛. 内括约肌侧切联合肛周皮瓣移植术治疗32例III期肛裂的临床效果观察[J]. 数理医药学杂志, 2020, 33(12): 1757-1759. |
[14] | 刘峰. 采用肛瘘切除术联合挂线法治疗高位肛瘘的临床效果分析[J]. 医学食疗与健康, 2020, 18(10): 60, 62. |
[15] | Baloch, N. (2021) Perineal Healing Following Abdominoperineal Excision for Rectal and Anal Cancer. Karolinska Institutet (Sweden), Stockholm. |
[16] | 孙怀庆, 海来阿米. 肛瘘切除术结合挂线法治疗高位肛瘘的有效性探究[J]. 健康必读, 2021(9): 246. |
[17] | 罗鹏, 谢剑英, 赵跃林. 肛门括约肌间瘘管结扎术治疗复杂性肛瘘[J]. 临床医药文献电子杂志, 2018, 5(28): 108-109. |
[18] | 沈浔. 肛门括约肌间瘘管结扎术治疗复杂性肛瘘的效果探究[J]. 当代医药论丛, 2019, 17(3): 42-43. |
[19] | 包桂栏, 何毕力格. 肛门括约肌间瘘管结扎术治疗复杂性肛瘘的疗效观察及对肛门功能的影响[J]. 世界最新医学信息文摘(连续型电子期刊), 2020, 20(56): 93-94. |
[20] | 陈敏, 马云丽. 部分小肠切除术后肠瘘行纤维蛋白胶封堵患儿的临床护理[J]. 齐鲁护理杂志, 2019, 25(2): 133-135. |
[21] | 曹秋锐, 魏保沛, 秦艳芳, 等. 肛裂切除带状皮瓣推移术对陈旧性肛裂患者肛门功能的影响[J]. 广州医药, 2019, 50(2): 37-40. |
[22] | 罗育春. 经肛门直肠黏膜推移皮瓣术与经括约肌间瘘管结扎术治疗复杂性肛瘘临床效果的比较研究[J]. 临床合理用药杂志, 2021, 14(6): 158-159. |
[23] | Torgerson, T., Wayant, C., Cosgrove, L., et al. (2022) Ten Years Later: A Re-view of the US 2009 Institute of Medicine Report on Conflicts of Interest and Solutions for Further Reform. BMJ Evi-dence-Based Medicine, 27, 46-54.
https://doi.org/10.1136/bmjebm-2020-111503 |
[24] | 邢晋梁. 探究肛裂切除带状皮瓣推移术对陈旧性肛裂患者肛门功能的影响[J]. 名医, 2020(1): 10-11. |
[25] | 刘珊珊. 高位复杂肛瘘患者不同手术方式的应用比较[J]. 航空航天医学杂志, 2022, 33(3): 314-317. |
[26] | 吴懿峻, 李成章, 麻百家. 不同术式治疗高位复杂肛瘘的疗效分析[J]. 浙江创伤外科, 2021, 26(5): 932-934. |
[27] | 赵长刚. 切开挂线对口引流术治疗高位复杂性肛瘘的临床疗效[J]. 中国医药指南, 2021, 19(36): 85-86. |
[28] | 周华德, 徐道绲, 钱伟, 等. 切开挂线联合瘘管旷置术治疗高位复杂性肛瘘的疗效观察[J]. 浙江医学, 2022, 44(15): 1660-1662. |
[29] | 肖兴勇. 切开挂线对口引流术与低位切开高位挂线术治疗高位复杂性肛瘘的效果对比[J]. 当代医药论丛, 2022, 20(3): 31-34. |
[30] | 黄子宸, 郑丽华. 高位肛瘘的手术治疗现状[J]. 中国临床医生杂志, 2022, 50(11): 1283-1285. |
[31] | 邹世镇, 陈德伦, 王炜, 汪志华, 诸葛冬桂, 罗东明. 自动紧线法治疗高位肛瘘疗效观察[J]. 现代中西医结合杂志, 2022, 31(10): 1388-1391. |
[32] | Garg, P., Sodhi, S.S. and Garg, N. (2020) Management of Complex Cryptoglandular Anal Fistula: Challenges and Solutions. Clinical and Ex-perimental Gastroenterology, 13, 555-567. https://doi.org/10.2147/CEG.S198796 |