肛瘘术后外用中药与其促愈机制的研究进展  

Research progress of external application of Chinese medicines and mechanisms on promoting healing after anal fistula surgeries

作　　者：韩海涛 柳越冬[2] 张双喜[3] 郭海霞 HAN Haitao;LIU Yuedong;ZHANG Shuangxi;GUO Haixia(Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China;Third Affliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110003,China;First Afiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]辽宁中医药大学研究生院,沈阳110000 [2]辽宁中医药大学附属第三医院,沈阳110003 [3]河南中医药大学第一附属医院,郑州450000

出　　处：《吉林中医药》2024年第6期739-744,共6页Jilin Journal of Chinese Medicine

基　　金：河南省2023年科技发展计划项目(232102311221);河南省中医药科学研究专项课题(2018JDZX051)。

摘　　要：肛瘘是指肛管直肠与肛门周围皮肤之间的慢性、病理性管道。据报道,在我国肛门直肠部位疾病中肛瘘约占总发病率的3.60%。目前,临床治疗肛瘘的方式仍以手术为主,但因肛瘘术后创面多为开放性,易增加并发症的发生、肛瘘复发等问题,进而对疾病的治疗效果造成严重影响。因此,探索影响肛瘘术后创面愈合的相关机制,对临床医生采取及时有效的治疗措施,提高肛瘘的治疗效果尤为关键。近年来,中医药治疗手段多用于促进肛瘘术后创面愈合,已成为该疾病主要治疗手段。本文通过将肛瘘术后外用中药与其促愈机制进行归纳与总结,旨在为临床提供相关参考及指导依据。Anal fistula refers to a chronic and pathological duct between anorectum and the surrounding skins of the anus.It is reported that anal fistula accounts for about 3.60%of the total incidence of anorectal diseases in China.At present,surgery is still the main clinical treatment for anal fistula,but because the wound surface in anal fistula surgeries is mostly open,it is easy to lead to the occurrence of complications,its recurrence and other problems,which seriously affect the therapeutic effect of the disease.Therefore,it is very important to explore the mechanisms on wound healing after anal fistula operations and to take timely and effective treatment measures for clinicians to improve its therapeutic effect.In recent years,traditional Chinese medicine has been widely used to promote the wound healing after anal fistula surgeries,and has become the main treatment method for this disease.This paper summarizes the mechanisms of promoting the healing of postoperative anal fistula with external Chinese medicines,aiming to provide relevant references and a guidance basis for the clinical treatment of the disease.

关 键 词：肛瘘 手术 外用中药 创面愈合 

分 类 号：R657.1[医药卫生—外科学]