克罗恩病相关直肠阴道瘘治疗进展

Progress on the treatment of Crohn′s disease-related rectovaginal fistula

克罗恩病(CD)相关直肠阴道瘘属于CD肛周病变中较为少见的一类难治性疾病,其治疗策略不仅要控制肠道炎症,还要兼顾保护肛门与阴道功能,故该病也是临床外科医生面临的治疗难题之一。目前CD相关直肠阴道瘘治疗主要以药物治疗及药物联合手术治疗为主,但仍缺乏统一标准。本文对该病现有的治疗方式进行综述,以期对临床治疗有所帮助。

Crohn′s disease(CD)-related rectovaginal fistula is a rare refractory disease in CD perianal lesions and its therapeutic strategy is not only to control intestinal inflammation but also to protect the anal and vaginal functions.It is also one of the treatment challenges for clinical surgeons.Clinically,medication and drug combined with surgery are mainly used for the treatment of CD-related rectovaginal fistula,but there is still lack of uniform standards.This article reviews the current treatment options for this disease in order to help clinical management.