克罗恩病合并肛瘘的手术治疗进展

Advances in Surgical Treatment of Perianal Fistulizing Crohn's Disease

克罗恩病(CD)是一种慢性非特异性肠道炎症性疾病,其中CD合并肛瘘(PFCD)的发生率约为17%~43%。松线疗法是PFCD手术治疗的首选方案,部分新型手术方法对特定类型的PFCD疗效较好,而多数方法的疗效仍需进一步研究来验证。多学科团队(MDT)模式已成为PFCD手术治疗的新方向。本文就PFCD的手术治疗进展作一综述。

Crohn’s disease(CD)is a chronic non-specific intestinal inflammatory disease,and the incidence of perianal fistulizing CD(PFCD)is 17%-43%.Non-cutting setons is the first choice for surgical treatment of PFCD.Some new surgical methods are effective for specific types of PFCD,however,the efficacy of most new methods remains to be confirmed by further studies.The multidisciplinary team(MDT)mode has become a new direction of PFCD surgery.This article reviewed the advances in surgical treatment of PFCD.