以拖线疗法为核心诊治婴幼儿复杂性肛瘘  

Treating Infantile Complex Anal Fistula-in-Ano with Thread Dragging Therapy as the Core

作　　者：梁宏涛[1] 孙琰婷 姚一博[1] 王琛[1] 陆金根(指导) LIANG Hongtao;SUN Yanting;YAO Yibo;WANG Chen;LU Jingen(Department of Anal and Intestinal Diseases,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;不详)

机构地区：[1]上海中医药大学附属龙华医院肛肠科,上海200032 [2]不详

出　　处：《山东中医杂志》2021年第8期840-843,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81603624);第六批全国老中医药专家学术经验继承人(批文号:国中医药办人教发〔2017〕125号);全国中医学术流派传承工作室第二轮建设项目(批文号:国中医药人教函〔2019〕62号);上海市进一步加快中医药事业发展三年行动计划[编号:ZY(2018-2020)-CCCX-1007];上海市卫生系统优秀人才培养计划(编号:2018BR19)。

摘　　要：以上海中医药大学附属龙华医院收治的91例婴幼儿复杂性肛瘘患儿为例,通过分析其临床资料,总结陆金根教授治疗婴幼儿复杂性肛瘘的经验。陆教授认为对于婴幼儿复杂性肛瘘,要合理运用辅助检查,严格把握手术指征,即肛周脓肿反复发作满2个月形成肛瘘者,当选择手术治疗,手术方式多采用切开法和切开拖线法,不提倡挂线疗法,术后处理综合运用中医外治法及内治法。附验案1则。A total of 91 infants with complex fistula-in-ano were hospitalized in Longhua Hospital,Shanghai University of Traditional Chinese Medicine.The clinical data were analyzed,and the experience of Professor LU Jingen in treating infantile complex fistula-in-ano was summarized.Professor LU holds that for the treatment of infantile complex fistula-in-ano,auxiliary examination should be applied reasonably,and surgical indications should be followed strictly,that is,after perianal abscess attacks repeatedly for 2 months with the formation of fistula-in-ano,patients should be treated with operation.In the operation,incision method and incision with thread dragging method should be applied rather than thread hanging method.After the operation,external treatment and internal treatment of traditional Chinese medicine should be applied comprehensively.One case is cited in this paper.

关 键 词：婴幼儿复杂性肛瘘 拖线疗法 手术治疗 中医外治 九一丹 八二丹 陆金根 

分 类 号：R266[医药卫生—中医外科学]