肛周克罗恩病
Perianal Crohn's disease.
作者信息
Safar Bashar, Sands Dana
机构信息
Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.
出版信息
Clin Colon Rectal Surg. 2007 Nov;20(4):282-93. doi: 10.1055/s-2007-991027.
Abstract
Crohn's disease is commonly complicated by perianal manifestations. The surgeon plays a pivotal role in caring for these patients; a detailed history along with a thorough clinical exam provides the treating physician with invaluable information upon which to base further investigations and management decisions. Other than abscess drainage, medical management to control proximal disease often precedes any surgical attempt to cure the disease. Surgical interventions are indicated in selective patients, but are often complicated by poor wound healing and recurrences. A sizable percentage of these patients may need a proctectomy.
摘要
克罗恩病常伴有肛周表现。外科医生在照料这些患者方面起着关键作用；详细的病史以及全面的临床检查能为治疗医生提供宝贵信息，以便据此进行进一步的检查和做出管理决策。除了脓肿引流外，控制近端疾病的药物治疗通常先于任何治愈该疾病的手术尝试。选择性患者需进行手术干预，但手术常因伤口愈合不良和复发而复杂化。这些患者中有相当一部分可能需要进行直肠切除术。
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