Bubbers Emily J, Cologne Kyle G
St. Peter's Hospital, Helena, Montana.
Division of Colorectal Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.
Clin Colon Rectal Surg. 2016 Mar;29(1):43-9. doi: 10.1055/s-0035-1570392.
Complex anal fistulas require careful evaluation. Prior to any attempts at definitive repair, the anatomy must be well defined and the sepsis resolved. Several muscle-sparing approaches to anal fistula are appropriate, and are often catered to the patient based on their presentation and previous repairs. Emerging technologies show promise for fistula repair, but lack long-term data.
复杂性肛瘘需要仔细评估。在进行任何确定性修复尝试之前，必须明确其解剖结构并消除感染。几种保留肌肉的肛瘘治疗方法是合适的，并且通常会根据患者的表现和既往修复情况进行调整。新兴技术在肛瘘修复方面显示出前景，但缺乏长期数据。
