LIFT程序

LIFT程序为结扎肛门括约肌瘘管。用于治疗肛瘘,这是一种相对较新的技术,可避免切割肛门括约肌。这种技术在泰国由Rojanasakul等人[1]推广,目前所有的研究都显示成功率为70-94%[2-4]。

它包括在肛门一侧建立小切口,结扎并切除瘘管的中间部分。对皮肤的外部开口进行清洁(刮除),伤口保持打开以便于引流和愈合。不需要试图用瓣片覆盖内部开口。

参考文献

  1. Rojanasakul A, Pattanaarun J, Sahakitrungruang C, Tantiphlachiva K. Total anal sphincter saving technique for fistula-in-ano: the ligation of intersphincteric fistula tract. J Med Assoc Thai. 2007;90:581–586
  2. Armen Aboulian, Amy H. Kaji, Ravin R. Kumar, Early Result of Ligation of the Intersphincteric Fistula Tract for Fistula-in-Ano, dcr, 2011
  3. O’Connor L, Champagne BJ, Ferguson MA, Orangio GR, Schertzer ME, Armstrong DN. Efficacy of anal fistula plug in closure of Crohn’s anorectal fistulas. Dis Colon Rectum. 2006;49: 1569–1573.
  4. Shanwani A, Nor AM, Amri N. Ligation of intersphincteric fistula tract (LIFT): a sphincter-saving technique in fistula-in-ano. Dis Colon Rectum. 2010;53:39–43.
Banner Image