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Journal of Chinese Integrative Medicine ›› 2009, Vol. 7 ›› Issue (12): 1101-1103.doi: 10.3736/jcim20091201

• Editorial •     Next Articles

Current problems and countermeasures in treatment of complex anal fistula

Ping Zhu , Yun-fei Gu, Bo-lin Yang   

  1. Department of Chinese Traditional Surgery, the First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210000, China
  • Received:2009-09-02 Accepted:2009-10-30 Online:2009-12-20 Published:2009-12-15
  • Contact: Yun-fei Gu E-mail:guyunfei127@126.com

The high recurrent rate and insufficient protection of anal function in treatment of anal fistula were reviewed in this article. To solve the problems in the treatment of complex fistula-in-ano including ignorance of preoperative assessment and lack of consciousness of preserving anal function, the authors raised the countermeasures to carry out the “gold standard” of preoperative assessment and the system of medical delivery, form the new principle of incision of anal sphincters, collect the high-level evidence-based medicine proof, improve the healing rate and significantly reduce the postoperative continence disturbance, so as to develop a new guideline for the treatment of fistula-in-ano.

Key words: Anal fistula, Surgical procedures, Operative, Problem solving, Decision making

[1] Yang BL, Gu YF, Zhu X, Shao WJ, Sun GD, Ding SQ, Jin HY . Application of magnetic resonance imaging in the diagnosis of complex anal fistula[J]. Zhonghua Wei Chang Wai Ke Za Zhi, 2008,11(4):339-342
doi: 10.3760/cma.j.issn.1671-0274.2008.04.011
杨柏霖, 谷云飞, 祝新, 邵万金, 孙桂东, 丁曙晴, 金黑鹰 . 磁共振成像在复杂性肛瘘诊断中的应用[J]. 中华胃肠外科杂志, 2008,11(4):339-342
doi: 10.3760/cma.j.issn.1671-0274.2008.04.011
[2] Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD . The treatment of anal fistula: ACPGBI position statement[J]. Colorectal Dis, 2007,9(Suppl 4):18-50
doi: 10.1111/j.1463-1318.2007.01372.x pmid: 17880382
[3] Li RT. Anorectal disease[M]. Shenyang: Liaoning Science and Technology Publishing House, 1987: 13
[4] Yu DH. Modern anorectal surgery[M]. Beijing: People’s Military Medical Press, 1997: 215
]喻德洪 . 现代肛肠外科学[M]. 北京: 人民军医出版社, 1997: 215
[5] D’Hoore A, Penninkx F . The pathology of complex fistula in ano[J]. Acta Chir Belg, 2000,100(3):111-114
pmid: 11280173
[6] Whiteford MH , Kilkenny J 3rd, Hyman N, Buie WD, Cohen J, Orsay C, Dunn G, Perry WB, Ellis CN, Rakinic J, Gregorcyk S, Shellito P, Nelson R, Tjandra JJ, Newstead G, Standards Practice Task Force. American Society of Colon and Rectal Surgeons. Practice parameters for the treatment of perianal abscess and fistula-in-ano(revised)[J]. Dis Colon Rectum, 2005,48(7):1337-1342
doi: 10.1007/s10350-005-0055-3 pmid: 15933794
[7] Corman ML. Colon and rectal surgery(4th ed)[M]. Beijing: People’s Medical Publishing House, 2002,( 4th ed):239
考曼著, 吕厚山译 . 结肠与直肠外科学(第4版)[M]. 北京: 人民卫生出版社, 2002,( 第4版):239
[8] Goldberg SM, Garcia-Aguilar J. The cutting seton. In: Phillips RKS, Lunniss PJ.Anal fistula: surgical evaluation and management[M]. London: Chapman & Hall Medical, 1996: 95-102
[9] Hu BH, Shi ZQ, Zhou JM . Effects of anal sphincter incision and thread-drawing therapy on anorectal resting pressure in dogs and its histopathological observation[J]. Zhong Yi Za Zhi, 1983,( 4):68-70
胡伯虎, 史兆岐, 周济民 . 犬肛门括约肌切开与挂线对直肠肛门管静止压的影响及组织病理学观察[J]. 中医杂志, 1983,( 4):68-70
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