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慢性会阴窦的管理:并非难以解决的问题。

Management of the chronic perineal sinus: not a problem to sit on.

作者信息

Lees V, Everett W G

机构信息

Addenbrooke's Hospital, Cambridge.

出版信息

Ann R Coll Surg Engl. 1991 Jan;73(1):58-63.

PMID:1996866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499339/
Abstract

It is our belief that the majority of cases of perineal sinus are curable if certain principles of wound management are followed. The causes and management of perineal sinus are reviewed. Four cases which illustrate the difficulties of achieving healing are reported, and from these important aspects of treatment are highlighted.

摘要

我们相信,如果遵循某些伤口处理原则,大多数会阴窦病例是可以治愈的。本文回顾了会阴窦的病因及处理方法。报告了4例说明愈合困难的病例,并从中突出了治疗的重要方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/9cd4d37d16a6/annrcse01566-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/55d14dcfae4d/annrcse01566-0068-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/149ff78c91ae/annrcse01566-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/9cd4d37d16a6/annrcse01566-0070-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/55d14dcfae4d/annrcse01566-0068-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/149ff78c91ae/annrcse01566-0069-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/041f/2499339/9cd4d37d16a6/annrcse01566-0070-a.jpg

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1
Management of the chronic perineal sinus: not a problem to sit on.慢性会阴窦的管理:并非难以解决的问题。
Ann R Coll Surg Engl. 1991 Jan;73(1):58-63.
2
Closure of postproctectomy perineal sinus with gracilis muscle flaps.用股薄肌瓣封闭直肠切除术后会阴窦
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[Gracilis muscle transplant for delayed healing of the perineal wound (author's transl)].
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The prevention and treatment of the persistent perineal sinus.持续性会阴窦的防治
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Risk factors for impaired healing of the perineal wound after abdominoperineal resection of rectum for carcinoma.直肠癌腹会阴联合切除术后会阴伤口愈合不良的危险因素。
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Use of a muscle graft for unhealed perineal sinus.使用肌肉移植治疗未愈合的会阴窦。
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引用本文的文献

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Unveiling the Hidden: Successful Surgical Management of a Rare Case of Chronic Perineal Sinus Tract.揭示隐秘:一例罕见慢性会阴窦道的成功手术治疗
Cureus. 2025 May 8;17(5):e83718. doi: 10.7759/cureus.83718. eCollection 2025 May.
2
Persistent perineal sinus following proctocolectomy in the inflammatory bowel disease patient.炎症性肠病患者行直肠结肠切除术后持续性会阴窦道
JGH Open. 2023 Oct 27;7(11):740-747. doi: 10.1002/jgh3.12983. eCollection 2023 Nov.
3
[Persistent perineal sinus closure after rectal extirpation-an alternative using bulbocavernosus fat flaps].

本文引用的文献

1
Problem of the persistent perineal sinus following removal of the rectum for ulcerative colitis.溃疡性结肠炎直肠切除术后持续性会阴窦问题。
Dis Colon Rectum. 1962 Sep-Oct;5:370-2. doi: 10.1007/BF02616591.
2
Chronic perineal sinus following total colectomy for ulcerative colitis.溃疡性结肠炎全结肠切除术后的慢性会阴窦道
Am J Surg. 1961 Jan;101:50-4. doi: 10.1016/0002-9610(61)90651-1.
3
The prevention and treatment of the persistent perineal sinus.持续性会阴窦道的防治
Chirurg. 2004 Jun;75(6):627-30. doi: 10.1007/s00104-003-0805-5.
World J Surg. 1980;4(2):167-72. doi: 10.1007/BF02393569.
4
Closure of a large defect of the pelvic cavity by an extended compound myocutaneous flap based on the inferior gluteal artery.
Br J Plast Surg. 1980 Apr;33(2):256-61. doi: 10.1016/0007-1226(80)90023-5.
5
Closure of the pelvic and perineal wounds after removal of the rectum and anus.切除直肠和肛门后盆腔及会阴伤口的闭合。
Dis Colon Rectum. 1980 Jan-Feb;23(1):2-9. doi: 10.1007/BF02587192.
6
The gracilis muscle flap and musculocutaneous flap in the repair of perineal and ischial defects.股薄肌肌瓣和肌皮瓣修复会阴及坐骨缺损
Br J Plast Surg. 1980 Jan;33(1):95-8. doi: 10.1016/0007-1226(80)90064-8.
7
Healing of the perineal wound.会阴部伤口的愈合。
Arch Surg. 1980 Apr;115(4):471-4. doi: 10.1001/archsurg.1980.01380040093016.
8
The gracilis myocutaneous flap for persistent perineal sinus after proctocolectomy.
Surg Gynecol Obstet. 1981 Nov;153(5):713-6.
9
The gluteal thigh flap: a reliable, sensate flap for the closure of buttock and perineal wounds.
Plast Reconstr Surg. 1981 Oct;68(4):521-32.
10
Closure of chronic wounds of the perineal and sacral regions using the gluteal thigh flap.
Ann Plast Surg. 1982 May;8(5):375-86. doi: 10.1097/00000637-198205000-00004.