克罗恩病肛管直肠狭窄的外科治疗进展

Research progress in the surgical treatment of anorectal stricture in Crohn disease

肛管直肠狭窄是肛周克罗恩病最具挑战的并发症,严重影响患者生存质量。受肛管直肠周围狭小解剖空间的限制,如何在解决狭窄症状的同时保留括约肌功能并避免复杂性手术是外科医生面临的临床难题之一。目前关于克罗恩病肛管直肠狭窄的相关研究较少,如何为患者提供最佳的临床评估和治疗方案是目前亟待解决的问题。本文就克罗恩病肛管直肠狭窄的内镜和外科治疗方法作一总结,以期为专科医生临床决策提供参考。

Anorectal stricture is the most challenging complication of perianal Crohn disease,and it often has a severe negative impact on the patient's quality of life.Limited by the narrow anatomical space around the anorectum,how to address the stricture symptoms while preserving sphincter function and avoiding complex surgery is one of the clinical challenges for surgeons.There are few studies on anorectal stricture in Crohn disease,and how to provide patients with the best clinical evaluation and treatment options is an urgent issue.The article summarizes the endoscopic and surgical treatments for anorectal stricture in Crohn disease in the hope that it will provide a useful reference for clinical decision-making by specialists.