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中华普通外科学文献(电子版) ›› 2025, Vol. 19 ›› Issue (03) : 193 -196. doi: 10.3877/cma.j.issn.1674-0793.2025.03.009

综述

保留括约肌术式治疗肛瘘的研究现状
刘美军1, 庞捷1, 翟春宝1,()   
  1. 1. 030000 太原,山西医科大学附属山西省人民医院结直肠肛门外科
  • 收稿日期:2025-03-06 出版日期:2025-06-01
  • 通信作者: 翟春宝

Research status of sphincter-sparing surgery in the treatment of anal fistula

Meijun Liu1, Jie Pang1, Chunbao Zhai1,()   

  1. 1. Department of Colorectal and Anal Surgery, Shanxi Provincial People’s Hospital, Shanxi Medical University, Taiyuan 030000, China
  • Received:2025-03-06 Published:2025-06-01
  • Corresponding author: Chunbao Zhai
引用本文:

刘美军, 庞捷, 翟春宝. 保留括约肌术式治疗肛瘘的研究现状[J/OL]. 中华普通外科学文献(电子版), 2025, 19(03): 193-196.

Meijun Liu, Jie Pang, Chunbao Zhai. Research status of sphincter-sparing surgery in the treatment of anal fistula[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2025, 19(03): 193-196.

肛瘘是一种常见疾病,治疗方式多种多样。传统术式如瘘管切开术易损伤肛门括约肌,导致肛门失禁风险增加。为平衡根治性与功能保护,保留括约肌术式成为近年研究热点,但仅有括约肌间瘘管结扎术(LIFT)和经肛门括约肌间切开术(TROPIS)两种术式在复杂肛瘘中取得了令人满意的结果。本文将从肛瘘形成的理论基础、LIFT 和TROPIS 操作步骤、研究进展及优缺点等方面进行综述,为肛瘘患者提供一种更优的治疗选择。

Anal fistula is a common anorectal disorder with various treatment modalities.Traditional procedures such as fistulotomy may cause anal sphincter injury and subsequent fecal incontinence.In order to balance radical treatment with functional preservation, sphincter-preserving techniques have emerged as research focus in recent years.However, only two approaches - ligation of intersphincteric fistula tract (LIFT)and transanal opening of intersphincteric space (TROPIS) - have satisfactorily demonstrated in complex anal fistulas.This article will comprehensively review the pathophysiological basis of fistula formation, procedural details, research advancements, and comparative advantages/limitations of LIFT and TROPIS techniques,aiming to provide optimized therapeutic options for patients with anal fistulas.

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