Abstract: Interpretation of the ASCRS clinical practice guideline for the management of anorectal abscess，fistula- in-ano，and rectovaginal fistula（2022）        ZHOU Jian-ping*，XI Yu-ting，BI Wei，et al. *Clinical School of Medicine，Chengdu University of Traditional Chinese Medicine，Chengdu 610036，China
Corresponding author：FU Hao，E-mail：fuhao82@126.com
Abstract    The American Society of Colorectal Surgeons (ASCRS) has developed the 2022 Clinical Practice Guidelines for management of  Anorectal Abscesses，Fistula-in-ano，and Rectovaginal Fistulas. The guidelines include  statement of problem，materials and methods，intial Evalution of Anorectal Abscess and Fiatula and specific treatment recommendations for anorectal abscesses，anal fistula，rectovaginal fistula，and anal fistula associated with Crohn's disease. The guidelines update the Parks classification of fistulas and evaluate classic and emerging procedures for perianal abscesses and fistulas.The new treatment methods proposed for rectovaginal fistula and Crohn's disease anal fistula can provide new choices for clinical doctors，but some methods have not received long-term clinical follow-up and should be used with caution.

Key words: anorectal abscess, fistula-in-ano, rectovaginal fistula

摘要： 2022年版美国结直肠外科医师协会《肛周脓肿、肛瘘和直肠阴道瘘的临床实践指南》内容主要包括疾病概述、材料与方法、肛周脓肿与肛瘘的初始评估和相关疾病的具体治疗建议。该指南更新了肛瘘的Parks分类，评估了肛周脓肿与肛瘘的经典术式与新兴术式，其针对直肠阴道瘘和克罗恩病肛瘘提出的新治疗方法可为临床医生提供新的选择，但部分方法未获得长期临床随访，应该谨慎使用。

关键词: 肛周脓肿, 肛瘘, 直肠阴道瘘