婴幼儿肛瘘治疗现状概述  

Current Status of Anal Fistula Treatment in Infants and Young Children

作　　者：朱煜璋 郭修田[1] ZHU Yuzhang;GUO Xiutian(Department of Anorectal Surgery,Chinese Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 20071,China)

机构地区：[1]上海中医药大学附属市中医医院肛肠科,上海200071

出　　处：《山东中医药大学学报》2020年第5期591-596,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：上海市科学技术委员会科研计划项目(编号:16401971700);上海申康医院发展中心临床科技创新项目(编号:SHDC12017119);上海市卫生和计划生育委员会中医优势病种培育项目(混合痔)(编号:zybz-2017010)。

摘　　要：从婴幼儿肛瘘的基本情况和特点、中西医病因病机以及保守治疗与手术治疗方面进行阐述。保守治疗方面,中医以中药内服外用治疗为主;西医则使用生物制剂及生物合成材料治疗。手术治疗中,中医包括传统挂线术以及隧道式拖线术治疗,西医包括瘘管切开切除术、泄液线放置术以及可视辅助系统下肛瘘治疗术。通过对疾病及其治法的分析比较,认为治疗该病应因人制宜,选择不同的治疗方法。参考文献46篇。This paper expounds the basic situation and characteristics of infants and young children anal fistula,etiology and pathogenesis of Chinese and Western medicine,as well as conservative treatment and surgical treatment. Conservative treatment:Chinese medicine mainly treats with Chinese medicinals internally and externally;Western medicine uses biological agents and biosynthetic materials. Surgical treatment:Traditional Chinese medicine includes traditional string-hanging operation and tunnel-type towing operation.Western medicine includes fistula incision and resection,drainage line placement,and visual anal fistula treatment. Through the analysis and comparison of the disease and its treatment,it is believed that the treatment of the disease should be adapted to individual conditions and different treatment methods should be selected. There are 46 references in total.

关 键 词：婴幼儿 肛瘘 保守治疗 手术治疗 中药 生物制剂 传统挂线术 隧道式拖线术 瘘管切开切除术 泄液线放置术 可视辅助系统下肛瘘治疗术 

分 类 号：R726.5[医药卫生—儿科]