目前的治疗密码腺 Anal Fistula:黄金标准和替代方法
Stefan Fritz1,2, Christoph Reissfelder2, Dieter Bussen1,2
1Deutsches End- und Dickdarmzentrum Mannheim, Mannheim, Deutschland.
Zentralblatt fur Chirurgie
|June 2, 2023
概括
密码腺体门囊需要手术治疗,平衡愈合与保持禁欲. 复杂的病例和之前的手术需要专业的直肠外科护理,以获得最佳的结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 产卵科 产卵科是指产卵科.
背景情况:
- 密码腺囊是常见的结直肠疾病,影响大约20/100,000个人.
- 这些丸代表门道和围皮肤之间的炎症通道,通常来自门或慢性感染.
研究的目的:
- 审查目前对密码腺性囊的手术治疗策略.
- 讨论管治愈和关节功能保存之间的平衡.
- 突出影响术后禁欲的因素和专门手术中心的重要性.
主要方法:
- 审查已确定的和替代性的手术技术,用于治疗尾.
- 讨论初级丸切除术,塞顿排水插入,丸切除术以及保护关节的方法,如粘膜或推进片.
- 考虑替代治疗方法,包括剪贴,纤维素注射,塞,带和激光手术.
主要成果:
- 外科手术是管的主要治疗方法.
- 远端囊通常被切除,而近端和复杂囊则受益于关节保护技术.
- 的形态,之前的手术,患者的性别,以及先前存在的关节功能障碍会影响治疗结果和禁欲预后.
结论:
- 囊的治疗选择涉及到最终愈合和潜在的禁欲风险之间的妥协.
- 专业的检口科专业知识至关重要,特别是对于复杂的病例或有先前手术史的患者.
- 专业的直肠病学中心被推用于管理复杂的囊,并确保最佳的患者护理.
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