中医药促进肛瘘术后愈合的临床研究

Clinical Study on the Promotion of Postoperative Healing of Anal Fistula by Traditional Chinese Medicine

摘要: 在肛肠科疾病中，肛瘘的发病率较高，且自然愈合可能性极小。当前，手术干预依旧是肛瘘治疗的主要方式。鉴于肛瘘术后创面多为开放性，怎样加快创面愈合，已然成为该领域的重要研究方向。中医药在改善肛瘘术后症状、推动组织修复等方面，展现出独特的优势。经过不断发展，已形成涵盖口服制剂、熏蒸疗法、外用药物以及综合治疗等多种方式的多元化干预方案，并在临床实践中取得了显著成效。本研究通过对近年来相关文献进行系统梳理，全面归纳总结中医药在肛瘘术后创面愈合中的作用机制以及临床应用的进展情况，旨在为优化肛瘘术后治疗策略提供科学依据与临床参考。

Abstract: Among the anorectal diseases, anal fistula has a high prevalence and a minimal possibility of natural healing. Currently, surgical intervention remains the mainstay of anal fistula treatment. Given that postoperative wounds of anal fistula are mostly open, how to accelerate wound healing has become an important research direction in this field. Traditional Chinese medicine has shown unique advantages in improving postoperative symptoms of anal fistula and promoting tissue repair. Through continuous development, a diversified intervention program covering oral preparations, fumigation therapy, topical medications, and comprehensive treatment has been formed and has achieved remarkable results in clinical practice. In this study, we systematically reviewed the relevant literature in recent years to summarize the mechanism of TCM in postoperative wound healing and the progress of clinical application, with the aim of providing scientific basis and clinical reference for optimizing the postoperative treatment strategy of anal fistula.