肛瘘中西医结合诊疗专家共识OA

Anal fistula is a common coloproctological disease,which is often secondary to perianal and peri‐rectal abscess,and can also be caused by specific inflammatory diseases,malignant tumors or traumatic infec‐tions.Recurrent infection of anal fistula leads to anal swelling and pain,perianal ulceration and purulent dis‐charge in patients,which seriously affects their quality of life and mental health.Long-term chronic inflamma‐tory stimulation may also increase the risk of canceration.The treatment of anal fistula is divided into conserva‐tive treatment and surgical treatment.Conservative treatment only relieves symptoms,while surgical treatment is the only radical cure for anal fistula,including radical anal fistulectomy,anal fistula resection,thread-drawing therapy and other methods.In the conservative and postoperative stages of anal fistula,traditional Chinese medi‐cine(TCM)treatment has unique advantages,and integrated TCM and Western medicine treatment is superior to Western medicine treatment alone.Therefore,it is urgent to give play to the complementary advantages of integrated TCM and Western medicine treatment and establish a standardized integrated TCM and Western medicine diagnosis and standardized treatment plan suitable for anal fistula patients in China,which has impor‐tant clinical practical value and guiding significance.Based on clinical practice,this consensus carries out evidence-based research on integrated TCM and Western medicine diagnosis and treatment of anal fistula.On the basis of the latest existing evidence and extensive consensus,it formulates the integrated TCM and Western medicine diagnosis and treatment plan for anal fistula,so as to ensure the scientificity,practicability and clinical operability of the consensus,standardize the clinical diagnosis and treatment of anal fistula with integrated TCM and Western medicine,provide strategies and methods for standardized management of anal fistula with inte‐grated TCM and Western medicine for clinicians,promote the improvement of clinical diagnosis,treatment and scientific research level of TCM coloproctology department and integrated TCM and Western medicine coloproc‐tology department,and expect to serve as an important reference for clinical practice,diagnostic criteria and qual‐ity evaluation.