Weisman R I, Orsay C P, Pearl R K, Abcarian H
Section of Colon and Rectal Surgery, Cook County Hospital, Chicago, Illinois 60612.
Dis Colon Rectum. 1991 Feb;34(2):181-4. doi: 10.1007/BF02049995.
A retrospective review of 27 patients undergoing anal fistulography is presented. The etiology of the 27 fistulas studied are as follows: cryptoglandular infection in 18, IBD in 7 (Crohn's 6, CUC 1), iatrogenic in 1, and foreign body perforation in 1. Twenty-six fistulograms revealed either direct communication with the anus or rectum, or abscess cavities/tracts, or both. Two fistulograms revealed no radiographic evidence of fistula (one patient had two fistulograms). In 13 of the 27 patients (48 percent) information obtained from the fistulograms revealed either unexpected pathology (n = 7) or directly altered surgical management (n = 6). We conclude that anal fistulography in properly selected patients may add useful information for the definitive management of fistula-in-ano.
本文对27例行肛瘘造影的患者进行了回顾性研究。所研究的27例肛瘘的病因如下：18例为腺源性感染，7例为炎症性肠病（6例克罗恩病，1例溃疡性结肠炎），1例为医源性，1例为异物穿孔。26例瘘管造影显示与肛门或直肠直接相通，或有脓肿腔/瘘管，或两者皆有。2例瘘管造影未显示瘘管的影像学证据（1例患者进行了两次瘘管造影）。27例患者中有13例（48%），从瘘管造影获得的信息显示出意外的病变（7例）或直接改变了手术治疗方案（6例）。我们得出结论，在适当选择的患者中进行肛瘘造影可能为肛管肛瘘的最终治疗增加有用信息。
