中医外治疗法对肛瘘术后愈合的研究进展

Research Progress on External Therapies of Traditional Chinese Medicine for Postoperative Healing of Anal Fistula

摘要: 本文探讨了中医外治疗法在肛瘘术后愈合中的应用进展。肛瘘术后愈合缓慢、复发率高，是临床难题。近年来，中医外治法如中药熏洗、外敷、针灸、拔罐等在促进愈合、减轻疼痛和降低炎症方面显示出良好效果。研究表明，中药熏洗和外敷可加速创面愈合、减少渗出；针灸和拔罐能缓解疼痛、缩短愈合时间。联合疗法更具优势。然而，目前缺乏标准化方案，多数研究样本量有限，作用机制研究尚浅。未来需制定标准化方案，开展大样本研究并深入探索其微观机制，以提升中医外治法的临床价值和科学地位。

Abstract: This article discusses the application of TCM external treatment in the healing of anal fistula surgery. Slow healing and high recurrence rate of anal fistula after surgery are clinical problems. In recent years, external TCM treatments such as traditional Chinese medicine fumigation, external application, acupuncture, cupping, etc., have shown good results in promoting healing, reducing pain and reducing inflammation. Studies have shown that traditional Chinese medicine fumigation and external application can accelerate wound healing and reduce exudation; Acupuncture and cupping can relieve pain and shorten healing time. Combination therapy is more advantageous. However, there is a lack of standardized protocols, most studies have limited sample sizes, and the mechanism of action is understudied. In the future, it is necessary to formulate standardized schemes, carry out large-sample studies and deeply explore its microscopic mechanism, so as to enhance the clinical value and scientific status of TCM external treatment.