CAJ | 학술논문

针对目前高位复杂性肛瘘挂线术治疗后其普遍存在的复发率高，肛门功能保护不足的现状，临床肛肠外科医生忽视术前诊断，功能保护意识薄弱以及缺乏术后肛门功能评估体系等问题，本文提出建立术前诊断“金标准”，明确挂线后生物力学规律，确立切断肛门括约肌新原则，完善肛门功能评估体系等对策，从而建立符合中国国情的肛瘘临床诊治规范，制定出具有中医特色的高位复杂性肛瘘治疗新方法，以期提高该病的治愈率并大幅减少术后肛门失禁。
침대목전고위복잡성항루괘선술치료후기보편존재적복발솔고，항문공능보호불족적현상，림상항장외과의생홀시술전진단，공능보호의식박약이급결핍술후항문공능평고체계등문제，본문제출건립술전진단“금표준”，명학괘선후생물역학규률，학립절단항문괄약기신원칙，완선항문공능평고체계등대책，종이건립부합중국국정적항루림상진치규범，제정출구유중의특색적고위복잡성항루치료신방법，이기제고해병적치유솔병대폭감소술후항문실금。
In view of the high recurrence rate and insufficient anal function preservation after the current seton operation of high complex anal fistula, and in order to solve such problems as clinical anorectal surgeon's ignorance of preoperative diagnosis, weak awareness of anal-function preservation and postoperative anal-function evaluation system unavailable, we put forward preoperative diagnostic "golden standard", clarify biomechanical laws after seton operation, establish new principles of anal-sphincter incision and improve anal-function evaluation system to set a comprehensive clinical diagnosis and treatment standard and new plans corresponding to TCM characteristics to treat high complex anal fistula so as to improve cure rate and reduce postoperative fecal incontinence substantially.