经肛括约肌间切开术治疗复杂性肛瘘的研究进展  

Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula

作　　者：陈泽洋 蔡明珠 白兆福 潘少容 李亚伦 王鹏远[1] 方晶晶 孙桂东[4] 邵万金[4] Chen Zeyang;Cai Mingzhu;Bai Zhaofu;Pan Shaorong;Li Yalun;Wang Pengyuan;Fang Jingjing;Sun Guidong;Shao Wanjin(Department of Gastrointestinal Surgery,Peking University First Hospital,Beijing 100034,China;Department of Anorectal Surgery,Xiamen Fifth Hospital,Xiamen 361101,Fujian,China;Department of Chinese Medicine Anorectal Surgery,Ningxia Hui Autonomous Region People’s Hospital,Yinchuan 750002,Ningxia,China;Department of Anorectal Surgery,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210004,Jiangsu,China)

机构地区：[1]北京大学第一医院胃肠外科,北京100034 [2]厦门市第五医院肛肠外科,福建厦门361101 [3]宁夏回族自治区人民医院中医肛肠科,宁夏银川750002 [4]江苏省中医院肛肠科,江苏南京210004

出　　处：《结直肠肛门外科》2024年第2期241-244,共4页Journal of Colorectal & Anal Surgery

摘　　要：复杂性肛瘘患者肛周反复发生破溃及感染,严重影响生活质量,由于治疗难度较大,需要手术医师权衡如何在提高手术成功率的同时降低术后大便失禁风险。近年来,经肛括约肌间切开术(transanal opening of intersphincteric space,TROPIS)作为一种保留括约肌的手术方式逐渐应用于复杂性肛瘘的治疗。本文将从TROPIS治疗复杂性肛瘘的理论基础及操作流程、有效性及安全性、应用范围等方面进行综述,以期为复杂性肛瘘的治疗提供参考。Patients with complex anal fistula experience recurrent perianal ulceration and infection,which seriously affects their quality of life.Due to the difficulty of treatment,surgeons need to weigh how to improve the success rate of surgery while reducing the risk of postoperative fecal incontinence.In recent years,transanal opening of intersphincteric space(TROPIS)has gradually been applied to the treatment of complex anal fistula as a sphincter-preserving surgical approach.This article will review the theoretical basis and operational procedures,effectiveness and safety,and application scope of TROPIS in the treatment of complex anal fistula,aiming to provide a reference for the treatment of complex anal fistula.

关 键 词：复杂性肛瘘 经肛括约肌间切开术 大便失禁 内外括约肌间间隙 

分 类 号：R657.1[医药卫生—外科学]