经括约肌间瘘管结扎术治疗肛瘘的临床现状_West China Medical Journal

Authors：

张少军 ^1,2 ,  杨巍 ¹

Corresponding author：

杨巍, Email: sjzhang2002@163.com

Keywords：

直肠瘘; 经括约肌间瘘管结扎术; 治疗结果; 手术后并发症

DOI：

10.7507/1002-0179.20130097

Video：

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经括约肌间瘘管结扎（LIFT）术是近年来治疗肛瘘的新术式，具有伤口小、肛门功能损伤小的优点，越来越受到国内外学者的关注。目前LIFT术的临床疗效差异较大，手术适应证较宽泛，手术失败原因不明，有必要对LIFT术的理论依据、操作方法、优缺点、注意事项及临床应用等情况作全面的了解。现对LIFT术的临床现状及争议等情况作一综述。

Citation： 张少军,杨巍. 经括约肌间瘘管结扎术治疗肛瘘的临床现状. West China Medical Journal, 2013, 28(2): 302-305. doi: 10.7507/1002-0179.20130097 Copy

1.	Whiteford MH, Kilkenny J, Hyman N, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised)[J]. Dis Colon Rectum, 2005, 48(7): 1337-1342.
2.	Han KS, Cho HM, Kim DH, et al. Retrospective analysis of a fistula-in-ano: focus on an anal-sphincter-preserving procedure[J]. J Korean Soc Coloproctol, 2007, 23(6): 403-409.
3.	Lim SW. Surgery in an intersphincteric fistula[J]. J Korean Soc Coloproctol, 2009, 25(6): 365-371.
4.	Kronborg O. To lay open or excise a fistula-in-ano: a randomized trial[J]. Br J Surg, 1985, 72(12): 970.
5.	Rojanasakul A, Pattanaarun J, Sahakitrungruang C, et al. Total anal sphincter saving technique for fistula-in-ano: the ligation of intersphincteric fistula tract[J]. J Med Assoc Thai, 2007, 90(3): 581-586.
6.	Parks AG. Pathogenesis and treatment of fistula-in-ano[J]. Br Med J, 1961, 1(5224): 463-469.
7.	Rojanasakul A. LIFT procedure: a simplified technique for fistula-in-ano[J]. Tech Coloproctol, 2009, 13(3): 237-240.
8.	Shanwani A, Nor AM, Amri N. Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano[J]. Dis Colon Rectum, 2010, 53(1): 39-42.
9.	Bleier JI, Moloo H, Goldberg SM. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas[J]. Dis Colon Rectum, 2010, 53(1): 43-46.
10.	Aboulian A, Kaji AH, Kumar RR. Early result of ligation of the intersphincteric fistula tract for fistula-in-ano[J]. Dis Colon Rectum, 2011, 54(3): 289-292.
11.	Tan K, Tan I, Koh DC, et al. Long-term results of ligation of intersphincteric fistula tract (LIFT) technique in the management of anal fistula[C]// American Society of Colon and Rectal Surgeons. 2010 ASCRS Annual Meeting. 2010 15-19, Minneapolis, MN, USA, Arlington Heights, IL: 2010: 155.
12.	Sileri P, Franceschilli L, Angelucci GP, et al. Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study[J]. Tech Coloproctol, 2011, 15(4): 413-416.
13.	Tan KK, Tan IJ, Lim FS, et al. The anatomy of failures following the ligation of intersphincteric tract technique for anal fistula: a review of 93 patients over 4 years[J]. Dis Colon Rectum, 2011, 54(11): 1368-1372.
14.	Ooi K, Skinner I, Croxford M, et al. Managing fistula-in-ano with ligation of the intersphincteric fistula tract procedure: the Western Hospital experience[J]. Colorectal Dis, 2012, 14(5): 599-603.
15.	Abcarian AM, Estrada JJ, Park J, et al. Ligation of intersphincteric fistula tract: early results of a pilot study[J]. Dis Colon Rectum, 2012, 55(7): 778-782.
16.	Mushaya C, Bartlett L, Schulze B, et al. Ligation of intersphincteric fistula tract compared with advancement flap for complex anorectal fistulas requiring initial seton drainage[J]. Am J Surg, 2012, 204(3): 283-289.
17.	van Onkelen RS, Gosselink MP, Schouten WR. Ligation of the intersphincteric fistula tract in low transsphincteric fistula: a new technique to avoid fistulotomy [J]. Colorectal Dis, 2012. [Epub ahead of print].
18.	García-Aguilar J, Belmonte C, Wong DW, et al. Cutting seton versus two-stage seton fistulotomy in the surgical management of high anal fistula[J]. Br J Surg, 1998, 85(2): 243-245.
19.	Williams JG, MacLeod CA, Rothenberger DA, et al. Seton treatment of high anal fistulae[J]. Br J Surg, 1991, 78(10):1159-1161.
20.	Pearl RK, Andrews JR, Orsay CP, et al. Role of the seton in the management of anorectal fistulas[J]. Dis Colon Rectum, 1993, 36(6): 573-577.
21.	Hamalainen KP, Sainio AP. Cutting seton for anal fistulas: high risk of minor control defects[J]. Dis Colon Rectum, 1997, 40(12): 1443-1446.
22.	Mizrahi N, Wexner SD, Zmora O, et al. Endorectal advancement flap: are there predictors of failure? [J]. Dis Colon Rectum, 2002, 45(12): 1616-1621.
23.	Gustafsson UM, Graf W. Excision of anal fistula with closure of the internal opening: functional and manometric results[J]. Dis Colon Rectum, 2002, 45(12): 1672-1678.
24.	Kreis ME, Jehle EC, Ohlemann M, et al. Functional results after transanal rectal advancement flap repair of trans-sphincteric fistula[J]. Br J Surg, 1998, 85(2): 240-242.
25.	Song KH. New techniques for treating an anal fistula[J]. J Korean Soc Coloproctol, 2012, 28(1): 7-12.
26.	Bleier JI, Moloo H. Current management of cryptoglandular fistula-in-ano[J]. World J Gastroenterol, 2011, 17(28): 3286-3291.
27.	Johnson EK, Gaw JU, Armstrong DN. Efficacy of anal fistula plug vs. fibrin glue in closure of anorectal fistulas[J]. Dis Colon Rectum, 2006, 49(3): 371-376.
28.	Champagne BJ, O’Connor LM, Ferguson M, et al. Efficacy of anal fistula plug in closure of cryptoglandular fistulas: long-term follow-up[J]. Dis Colon Rectum, 2006, 49(12): 1817-1821.
29.	Lawes DA, Efron JE, Abbas M, et al. Early experience with the bioabsorbable anal fistula plug[J]. World J Surg, 2008, 32(6): 1157-1159.
30.	Safar B, Jobanputra S, Sands D, et al. Anal fistula plug: initial experience and outcomes[J]. Dis Colon Rectum, 2009, 52(2): 248-252.
31.	Matos D, Lunniss PJ, Phillips RKS. Total sphincter conservation in high fistula in ano: results of a new approach[J]. Br J Surg, 1993, 80(6): 802-804.
32.	Rojanasakul A. Comments to the invited comment "LIFT procedure: a simplified technique for fistula in ano" by P. J. Lunniss[J]. Tech Coloproctol, 2010, 14(1): 53-54.
33.	van Onkelen RS, Gosselink MP, Schouten WR. Is it possible to improve the outcome of transanal advancement flap repair for high transsphincteric fistulas by additional ligation of the intersphincteric fistula tract? [J]. Dis Colon Rectum, 2012, 55(2): 163-166.
34.	王振军. 肛瘘治疗新手术：LIFT-Plug术[J]. 中国临床医生, 2011, 39(8): 8-9.
35.	崔金杰, 王振军, 郑毅, 等. 改良括约肌间瘘管结扎术治疗经括约肌型肛瘘[J]. 中华胃肠外科杂志, 2012, 15(12): 1232-1235.
36.	Han JG, Yi BQ, Wang ZJ, et al. Ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano[J]. Colorectal Dis, 2012. [Epub ahead of print].

1. 　Whiteford MH, Kilkenny J, Hyman N, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised)[J]. Dis Colon Rectum, 2005, 48(7): 1337-1342.
2. 　Han KS, Cho HM, Kim DH, et al. Retrospective analysis of a fistula-in-ano: focus on an anal-sphincter-preserving procedure[J]. J Korean Soc Coloproctol, 2007, 23(6): 403-409.
3. 　Lim SW. Surgery in an intersphincteric fistula[J]. J Korean Soc Coloproctol, 2009, 25(6): 365-371.
4. 　Kronborg O. To lay open or excise a fistula-in-ano: a randomized trial[J]. Br J Surg, 1985, 72(12): 970.
5. 　Rojanasakul A, Pattanaarun J, Sahakitrungruang C, et al. Total anal sphincter saving technique for fistula-in-ano: the ligation of intersphincteric fistula tract[J]. J Med Assoc Thai, 2007, 90(3): 581-586.
6. 　Parks AG. Pathogenesis and treatment of fistula-in-ano[J]. Br Med J, 1961, 1(5224): 463-469.
7. 　Rojanasakul A. LIFT procedure: a simplified technique for fistula-in-ano[J]. Tech Coloproctol, 2009, 13(3): 237-240.
8. 　Shanwani A, Nor AM, Amri N. Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano[J]. Dis Colon Rectum, 2010, 53(1): 39-42.
9. 　Bleier JI, Moloo H, Goldberg SM. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas[J]. Dis Colon Rectum, 2010, 53(1): 43-46.
10. 　Aboulian A, Kaji AH, Kumar RR. Early result of ligation of the intersphincteric fistula tract for fistula-in-ano[J]. Dis Colon Rectum, 2011, 54(3): 289-292.
11. 　Tan K, Tan I, Koh DC, et al. Long-term results of ligation of intersphincteric fistula tract (LIFT) technique in the management of anal fistula[C]// American Society of Colon and Rectal Surgeons. 2010 ASCRS Annual Meeting. 2010 15-19, Minneapolis, MN, USA, Arlington Heights, IL: 2010: 155.
12. 　Sileri P, Franceschilli L, Angelucci GP, et al. Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study[J]. Tech Coloproctol, 2011, 15(4): 413-416.
13. 　Tan KK, Tan IJ, Lim FS, et al. The anatomy of failures following the ligation of intersphincteric tract technique for anal fistula: a review of 93 patients over 4 years[J]. Dis Colon Rectum, 2011, 54(11): 1368-1372.
14. 　Ooi K, Skinner I, Croxford M, et al. Managing fistula-in-ano with ligation of the intersphincteric fistula tract procedure: the Western Hospital experience[J]. Colorectal Dis, 2012, 14(5): 599-603.
15. 　Abcarian AM, Estrada JJ, Park J, et al. Ligation of intersphincteric fistula tract: early results of a pilot study[J]. Dis Colon Rectum, 2012, 55(7): 778-782.
16. 　Mushaya C, Bartlett L, Schulze B, et al. Ligation of intersphincteric fistula tract compared with advancement flap for complex anorectal fistulas requiring initial seton drainage[J]. Am J Surg, 2012, 204(3): 283-289.
17. 　van Onkelen RS, Gosselink MP, Schouten WR. Ligation of the intersphincteric fistula tract in low transsphincteric fistula: a new technique to avoid fistulotomy [J]. Colorectal Dis, 2012. [Epub ahead of print].
18. 　García-Aguilar J, Belmonte C, Wong DW, et al. Cutting seton versus two-stage seton fistulotomy in the surgical management of high anal fistula[J]. Br J Surg, 1998, 85(2): 243-245.
19. 　Williams JG, MacLeod CA, Rothenberger DA, et al. Seton treatment of high anal fistulae[J]. Br J Surg, 1991, 78(10):1159-1161.
20. 　Pearl RK, Andrews JR, Orsay CP, et al. Role of the seton in the management of anorectal fistulas[J]. Dis Colon Rectum, 1993, 36(6): 573-577.
21. 　Hamalainen KP, Sainio AP. Cutting seton for anal fistulas: high risk of minor control defects[J]. Dis Colon Rectum, 1997, 40(12): 1443-1446.
22. 　Mizrahi N, Wexner SD, Zmora O, et al. Endorectal advancement flap: are there predictors of failure? [J]. Dis Colon Rectum, 2002, 45(12): 1616-1621.
23. 　Gustafsson UM, Graf W. Excision of anal fistula with closure of the internal opening: functional and manometric results[J]. Dis Colon Rectum, 2002, 45(12): 1672-1678.
24. 　Kreis ME, Jehle EC, Ohlemann M, et al. Functional results after transanal rectal advancement flap repair of trans-sphincteric fistula[J]. Br J Surg, 1998, 85(2): 240-242.
25. 　Song KH. New techniques for treating an anal fistula[J]. J Korean Soc Coloproctol, 2012, 28(1): 7-12.
26. 　Bleier JI, Moloo H. Current management of cryptoglandular fistula-in-ano[J]. World J Gastroenterol, 2011, 17(28): 3286-3291.
27. 　Johnson EK, Gaw JU, Armstrong DN. Efficacy of anal fistula plug vs. fibrin glue in closure of anorectal fistulas[J]. Dis Colon Rectum, 2006, 49(3): 371-376.
28. 　Champagne BJ, O’Connor LM, Ferguson M, et al. Efficacy of anal fistula plug in closure of cryptoglandular fistulas: long-term follow-up[J]. Dis Colon Rectum, 2006, 49(12): 1817-1821.
29. 　Lawes DA, Efron JE, Abbas M, et al. Early experience with the bioabsorbable anal fistula plug[J]. World J Surg, 2008, 32(6): 1157-1159.
30. 　Safar B, Jobanputra S, Sands D, et al. Anal fistula plug: initial experience and outcomes[J]. Dis Colon Rectum, 2009, 52(2): 248-252.
31. 　Matos D, Lunniss PJ, Phillips RKS. Total sphincter conservation in high fistula in ano: results of a new approach[J]. Br J Surg, 1993, 80(6): 802-804.
32. 　Rojanasakul A. Comments to the invited comment "LIFT procedure: a simplified technique for fistula in ano" by P. J. Lunniss[J]. Tech Coloproctol, 2010, 14(1): 53-54.
33. 　van Onkelen RS, Gosselink MP, Schouten WR. Is it possible to improve the outcome of transanal advancement flap repair for high transsphincteric fistulas by additional ligation of the intersphincteric fistula tract? [J]. Dis Colon Rectum, 2012, 55(2): 163-166.
34. 　王振军. 肛瘘治疗新手术：LIFT-Plug术[J]. 中国临床医生, 2011, 39(8): 8-9.
35. 　崔金杰, 王振军, 郑毅, 等. 改良括约肌间瘘管结扎术治疗经括约肌型肛瘘[J]. 中华胃肠外科杂志, 2012, 15(12): 1232-1235.
36. 　Han JG, Yi BQ, Wang ZJ, et al. Ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-Plug): a new technique for fistula-in-ano[J]. Colorectal Dis, 2012. [Epub ahead of print].

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经括约肌间瘘管结扎术治疗肛瘘的临床现状

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