2007年泰国医生Rojanasakul介绍了一种新的保留括约肌手术,即LIFT手术(Ligation of the Intersphincteric Fistula Tract ,LIFT),发表在泰国医学会杂志上,引起了Minnesota大学Goldberg教授的关注,而后,Goldberg教授开始在美国开展LIFT手术的多中心研究,在美国推广这一新技术,并推荐作为治疗复杂性肛瘘保留括约肌手术的一线选择。目前肛瘘结扎术的研究还在进行中,文献报道的不多,英文文献总共才发表4篇,大部分都是短期的随访结果,总成功率57%-94.4%,肛门失禁几乎为零。肛瘘结扎术治疗经括约肌肛瘘和复杂性肛瘘是安全有效的,同时保留了肛门括约肌和肛门功能,与其他保留括约肌手术方法相比,简便易行,成功率高,肛门失禁的发生率几乎为零,是最有前景的肛瘘保留括约肌手术,还需要作多中心的长期随机对照研究对LIFT手术的有效性和安全性作出准确的评价。沈阳军区总医院肛肠科王大全
参考文献
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