顾氏外科治疗复杂性肛瘘的迭代演变

Iterative Evolution of GU’s Surgery in Treatment on Complex Anal Fistula

[目的]阐述和总结顾氏外科治疗复杂性肛瘘的特色疗法的演变历程。[方法]通过查阅文献及流派史籍,梳理顾氏外科各时代代表性传承人诊治复杂性肛瘘的临床经验,总结该流派对肛瘘专病治疗的经验及发展历程。[结果]顾氏外科坚持走中医药可持续发展路线,结合中医“腐脱新生”理论,创新“拖线疗法”,并以此为基石,不断拓宽肛瘘专病治疗的广度及深度,古法今用,发展了“置管疗法”“负压吸引疗法”等中医特色疗法,并与视频辅助下肛瘘治疗技术、激光技术等现代化治疗手段有机结合,逐渐形成了顾氏外科特有的中西医并重治疗复杂性肛瘘的治疗技艺及理论。[结论]顾氏外科治疗复杂性肛瘘的演变历程既凸显流派底蕴,彰显中医药治疗优势,又与时俱进,符合时代背景下医疗同质化发展需求。

[Objective] To expound and summarize the evolution of special therapies of GU’s surgery in treating complex anal fistula.[Methods] Using the methods including consulting literatures and historical records of school, analyzing the clinical experience on treating complex anal fistula of the representative inheritors of GU’s surgery in various times to summarize the experience and development of schools in the treatment of anal fistula. [Results] GU’s surgery adheres to the sustainable development of traditional Chinese medicine(TCM).On the basement of the theory of “decay and regeneration” in TCM, GU’s surgery innovated the “Suture Dragging Therapy”. After that,“Catheter Drainage Therapy” “Vacuum Aspiration Therapy” and other characteristic therapies in TCM were improved to broaden the treatment of anal fistula. Nowadays, GU’s surgery put video-assisted anal fistula treatment, Laser and others into use as well. Gradually,unique treatment skills and theories in treating complex anal fistula with equal emphasis on traditional Chinese and western medicine treatment skills were formed by GU’s surgery with his own particular theory. [Conclusion] The evolution of GU’s surgical treatment of complex anal fistula not only highlights the background of the school and the advantages of TCM, but also advances with the times, in line with the development needs of medical homogeneity in the era.