【摘要】 正确的处理感染病灶和保护肛门功能是高位复杂性肛瘘治疗的两个关键。樊志敏教授认为,了解瘘管的走向与周围组织的关系是"澄源净流"的基础,加强术前评估、保持术中视野清晰、熟悉解剖层次是寻腔去瘘的重要方法。樊教授在中医挂线疗法的基础上,遵循感染传遍规律,选择低侵袭的手术路径,术中合理清创,设计小创面引流路线,术后提倡适当延迟紧线时间,配合中药制剂活血止痛消肿。真正的微创化治疗应该建立在良好疗效的基础上,樊教授在保证彻底清除病灶的前提下,减轻病患痛苦,缩短愈合时间,力求最小限度的减少对肛门组织损伤,真正意义上的体现了"微创"的理念。更多还原

【Abstract】 The correct treatment of infection and protect the anal function are two keys treatment of high complex anal fistula. Professor FAN thinks that to understand the relationship between the fistula and the surrounding tissue is the basis to find cavity fistula, strengthening the preoperative evaluation, it is an important method to maintain a clear vision, familiar with the anatomy of the operation to clear the fistula. Professor FAN bases of the hanging line therapy in TCM, follows infection spread rule, selects the low invasive surgical approach,intraoperative rational design of small wound debridement, drainage route. After the appropriate delay time advocate tight line, with Chinese medicine Huoxue analgesic detumescence. A truly minimally invasive treatment should be based on good results. Professor FAN completes removal of the lesion on the premise of ensuring, reduces patient pain, shortens the healing time, and strives to minimize reduce injury to the anal tissue, reflects the true sense of the concept of "minimally invasive".更多还原