Seow-Choen F, Nicholls R J
Department of Colorectal Surgery, Singapore General Hospital.
Br J Surg. 1992 Mar;79(3):197-205. doi: 10.1002/bjs.1800790304.
Anal fistula is a common cause of chronic irritation to both patients and surgeons. Treatment failure rates may be decreased by a good appreciation of normal anorectal anatomy and fistula pathoanatomy, as well as a wide and practical knowledge of the possible treatment regimens. The various treatment options available for acute abscesses as well as simple and complex anal fistulae are presented and discussed. Identification of the patient at risk of postoperative anal incontinence or of the difficult or high fistula may allow treatment in a specialized proctology unit.
肛瘘是患者和外科医生长期困扰的常见病因。充分了解正常的肛肠解剖结构和肛瘘病理解剖，以及广泛掌握可行的治疗方案，可降低治疗失败率。本文介绍并讨论了急性脓肿以及单纯性和复杂性肛瘘的各种治疗选择。识别有术后肛门失禁风险的患者或难治性或高位肛瘘患者，可使其在专业的直肠病科接受治疗。
