Trenin S O, Gel'fenbeĭn L S, Shishkov A V
Khirurgiia (Mosk). 2002(2):37-40.
Anaerobic paraproctitis (AP) was seen in 8.6% of 1057 cases with acute paraproctitis. Severe general condition of the patient, vast damage, fetid wound secretion, extensive detachment and necrosis of tissues were the main AP symptoms. Radical excision of affected tissues with daily revision and sanatation in combination with intensive general therapy permits to reduce mortality to 4.3%. In early postoperative period reversible insufficiency of anal sphincter developed in 16.1% AP patients. It is necessary to close wounds as early as possible. Perforated cutaneous pedicle flap from posterior wall of the scrotum may be successfully used for plastic repair of perineum wound.
在1057例急性肛周直肠炎患者中，厌氧性肛周直肠炎（AP）的发生率为8.6%。患者全身状况严重、损伤范围大、伤口分泌物恶臭、组织广泛分离和坏死是AP的主要症状。对病变组织进行根治性切除，每日换药及清创，并结合强化综合治疗，可将死亡率降至4.3%。16.1%的AP患者在术后早期出现肛门括约肌可逆性功能不全。有必要尽早闭合伤口。阴囊后壁带蒂皮瓣可成功用于会阴伤口的整形修复。
