Oliver G C, Rubin R J, Salvati E P, Eisenstat T E, Lott J
Division of Colon and Rectal Surgery, Robert Wood Johnson School of Medicine, Muhlenberg Regional Medical Center, Plainfield, New Jersey.
Dis Colon Rectum. 1991 Sep;34(9):777-9. doi: 10.1007/BF02051069.
Each year we treat several patients with an anterior perineal sinus tract. They do not conform to commonly encountered perineal problems such as pilonidal disease, epidermal cysts, hidradenitis, fistulous abscess, or inflammatory bowel disease. In an effort to improve understanding of the problem and its clinical significance, we reviewed our practice records for the period from 1968 through 1988. Fifty-six patients underwent surgery for an anterior perineal sinus tract. In 31 patients, the clinical and pathologic condition defied classical diagnostic categorization. We have termed these lesions "anterior perineal sinuses." Their clinical characteristics, treatment, and pathologic assessment from the body of this report. Male predominance (87 percent) and midlife presentation (average age, 44 years) characterized this group. Local symptoms were present from several weeks to several years prior to treatment. Local anesthesia (74 percent) and limited surgery (100 percent) resulted in complete healing in all patients (average, 7 weeks). A 15 percent recurrence rate was noted. The pathologic evaluation demonstrated acute and chronic dermal and subcutaneous inflammation. The etiology of this process remains uncertain. Its predominance along the median raphe suggests a congenital midline inclusion disorder.
每年我们都会治疗几名患有会阴前部窦道的患者。他们不符合常见的会阴问题，如藏毛窦病、表皮囊肿、汗腺炎、瘘管性脓肿或炎症性肠病。为了更好地理解这个问题及其临床意义，我们回顾了1968年至1988年期间的临床记录。56例患者因会阴前部窦道接受了手术。其中31例患者的临床和病理情况不符合经典的诊断分类。我们将这些病变称为“会阴前部窦”。本报告主体将阐述其临床特征、治疗方法及病理评估。该组患者以男性为主（87%），发病年龄多在中年（平均年龄44岁）。治疗前局部症状出现数周至数年不等。局部麻醉（74%）及有限手术（100%）使所有患者均完全愈合（平均7周）。复发率为15%。病理评估显示有急慢性真皮及皮下炎症。该病变过程的病因尚不确定。其沿正中缝的优势分布提示为先天性中线包涵体疾病。
