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[克罗恩病的肛周感染。与非克罗恩病患者相比的局部手术治疗结果]

[Perianal infections in Crohn disease. Results of local surgical treatment in comparison with non-Crohn patients].

作者信息

Hancke E

机构信息

Klinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.

出版信息

Med Klin (Munich). 1992 Jun 15;87(6):305-9.

PMID:1635520
Abstract

In a prospective study the results of local surgery in perianal infections in patients with and without Crohn's disease were compared. In patients with Crohn's disease (CD) the abscesses and fistulas were more extensive and complicated than in patients without Crohn's disease (NCD). The source of infection was cryptoglandular in 81% (CD) resp. 100% (NCD). The wound healing in CD-patients was four weeks longer than in NCD patients. Abscesses or fistulas recurred in 6/18 (CD) resp. 1/25 (NCD). Partial incontinence occurred in 6/18 CD and 5/25 NCD. It is concluded that perianal infections can be treated successful in most of patients with Crohn's disease.

摘要

在一项前瞻性研究中,对患有和未患有克罗恩病的患者肛周感染的局部手术结果进行了比较。患有克罗恩病(CD)的患者,其脓肿和瘘管比未患有克罗恩病(NCD)的患者更广泛、更复杂。81%(CD)和100%(NCD)的感染源为腺隐窝性。CD患者的伤口愈合时间比NCD患者长四周。6/18(CD)和1/25(NCD)出现脓肿或瘘管复发。6/18的CD患者和5/25的NCD患者出现部分失禁。得出的结论是,大多数克罗恩病患者的肛周感染可以得到成功治疗。

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