李天煜 廖日煜 蔡伟杰

    【摘要】?肛瘘是肛管直肠与肛周皮肤间存在的一种慢性炎症的上皮化异常通道，为一种常见的难治性良性疾病，不彻底治疗有恶变倾向。手术是目前主要的治疗方法，微创是当前肛瘘手术趋势。该文对肛瘘治疗微创新方法包括肛瘘实虚挂线术、括约肌间瘘管结扎术、直肠黏膜瓣推移术、生物蛋白胶封堵及肛瘘栓等方法进行综述，以期对肛瘘治疗起引导作用。

    【关键词】?肛瘘;微创治疗;进展

    中图分类号：R657.1+6?文献标志码：A?DOI：10.3969/j.issn.1003-1383.2021.01.002

    【Abstract】?Anal fistula is an abnormal epithelialization channel of chronic inflammation between anorectal and perianal skin. It is a common incurable benign disease with a tendency of malignant transformation if it is not treated thoroughly. Surgery is the main treatment at present， minimally invasive is the current trend of anal fistula. In order to guide the treatment of anal fistula， this paper reviews the new minimally invasive methods of anal fistula treatment， including anorectal hypertrophy hanging， ligation of intersphincteric fistula tract， rectal mucosal flap eluviation， biological protein glue plugging and anal supposal， etc.

    【Key words】?anal fistula; minimally invasive treatment; progress

    肛瘘是肛管直肠与肛周皮肤间存在的一种慢性炎症的上皮化异常通道，多由隐窝源性肛腺感染后所致。我国肛瘘发病率为1.7%～3.6%[1]，中青年好发，男性是女性的2～6倍，其中复杂性肛瘘占5%～15%[2] ......