肛瘘保留括约肌技术治疗进展

Progress in the Treatment of Anal Fistula with Sphincter Preservation Technique

肛瘘属于常见的肛肠科疾病,目前肛门功能损伤成为传统的肛瘘治疗方式的主要缺陷,影响患者的生活质量。而微创理念在肛肠科治疗方面的应用也日益广泛,保留括约肌相关的术式和相关技术成为近年来热点,如括约肌间瘘管结扎术、黏膜瓣推移术、各类松弛挂线术、经括约肌间切开术、新型生物材料注射或填塞、细胞治疗、视频辅助新肛瘘治疗、激光瘘管闭合术等的开展不仅可以保证手术的疗效,而且手术的安全性高及术后并发症少。

Anal fistula is a common anorectal disease.At present,anal function damage has become the main defect of traditional anal fistula treatment,which affects the quality of life of patients.The application of minimally invasive concepts in anorectal treatment is also increasingly widespread,and sphincter-preserving procedures and related techniques have become hot spots in recent years,such as intersphincteric fistula ligation,mucosal flap advancement,various types of loose sutures,transsphincteric muscle ligation The development of incision,injection or packing of new biomaterials,cell therapy,video-assisted treatment of neoanal fistula,and laser fistula closure can not only ensure the curative effect of the operation,but also have high safety and few postoperative complications.