Department of Surgery, Dwight David Eisenhower Army Medical Center, 300 Hospital Road, Fort Gordon, GA, USA.
Surg Clin North Am. 2010 Feb;90(1):45-68, Table of Contents. doi: 10.1016/j.suc.2009.10.001.
The management of anorectal abscess and anal fistula has changed markedly with time. Invasive methods with high resulting rates of incontinence have given way to sphincter-sparing methods that have a much lower associated morbidity. There has been an increase in reports in the medical literature describing the success rates of the varying methods of dealing with this condition. This article reviews the various methods of treatment and evidence supporting their use and explores advances that may lead to new therapies.
肛肠脓肿和肛瘘的治疗方法随着时间的推移发生了显著变化。高失禁率的侵入性方法已经让位于括约肌保留方法，后者的相关发病率要低得多。医学文献中关于处理这种疾病的各种方法的成功率的报道有所增加。本文综述了各种治疗方法以及支持其使用的证据，并探讨了可能导致新疗法的进展。
