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| 1 | 肛瘘手术治疗新进展显示文摘肛瘘是直肠或肛管与肛周皮肤相通的肉芽肿性通道,由内口、外口及窦道组成,是肛门周围间隙感染的慢性阶段。国际上常用的肛瘘分类方式为高位肛瘘和低位肛瘘分类方式(瘘管通过肛门外括约肌的下1/3称为低位肛瘘)以及Park分类方式~[1](即:A.括约肌间瘘;B.经括约肌肛瘘;C.括约肌上方肛瘘;D.括约肌外侧肛瘘)。肛瘘治疗首选手术,传统术式治疗低位肛瘘以瘘管切开术、瘘管切除术为主。 | 覃杰 张森 | 2015 | 结直肠肛门外科2015，21，6： | 10 |
| 2 | Prospective evaluation of a new device for the treatment of anal fistulas显示文摘AIM: To evaluate the safety of the implantation of a new device for the treatment of anal fistulas. The short-term clinical efficacy was also assessed. METHODS: This study took place at a tertiary care university hospital. Patients with a complex anal fistula of cryptoglandular origin were enrolled in the study and were treated with insertion of the new device. All patients were evaluated by clinical and physical examination, including an endoanal ultrasound at the baseline, and then at the 2 wk and 1, 2, 3 and 6-mo follow-up visits. RESULTS: Morbidity, continence status, and success rate were the main outcome measures. Ten patients underwent the placement of the new device. The fistulas were transphincteric in eight patients and extrasphincteric in the remaining two. The median duration of the surgical procedure was 34.5(range, 27-42) min. Neither intra- nor postoperative complications occurred, and all patients were discharged the day after the procedure. At the 6-mo follow-up evaluation, the final success rate was 70%. Three failures were registered: a device expulsion(on the 10 th postoperative day), the persistence of inflammatory tissue around the fistula tract(at the 2-mo follow up), and the persistence of serum discharge(at the 6-mo follow up). No patient experienced any change incontinence, as assessed by the Cleveland Clinic Fecal Incontinence score. CONCLUSION: The technical procedure is simple and has low risk of perioperative morbidity. The pre- and post-operative continence status did not change in any of the patients. The initial results at the 6-mo follow up seem to be promising. However, a longer follow-up period and a larger sample size are needed to confirm these preliminary results. | Carlo Ratto Francesco Litta Lorenza Donisi Angelo Parello | 2016 | World Journal of Gastroenterology2016，22，30： | 2 |
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