肛门瘘：术中的困难和意外发现。
Anal fistula: intraoperative difficulties and unexpected findings.
机构信息
Department of Surgery, El Demerdash Hospital, Ain Shams University, Cairo 11566, Egypt.
出版信息
World J Gastroenterol. 2011 Jul 28;17(28):3272-6. doi: 10.3748/wjg.v17.i28.3272.
Abstract
Anal fistula surgery is a commonly performed procedure. The diverse anatomy of anal fistulae and their proximity to anal sphincters make accurate preoperative diagnosis essential to avoid recurrence and fecal incontinence. Despite the fact that proper preoperative diagnosis can be reached in the majority of patients by simple clinical examination, endoanal ultrasound or magnetic resonance imaging, on many occasions, unexpected findings can be encountered during surgery that can make the operation difficult and correct decision-making crucial. In this article we discuss the difficulties and unexpected findings that can be encountered during anal fistula surgery and how to overcome them.
摘要
肛门瘘手术是一种常见的手术。肛门瘘的解剖结构多样，且靠近肛门括约肌，因此准确的术前诊断对于避免复发和大便失禁至关重要。尽管通过简单的临床检查、腔内超声或磁共振成像，大多数患者都可以获得正确的术前诊断，但在许多情况下，手术中可能会遇到意想不到的发现，这使得手术变得困难，正确的决策变得至关重要。本文讨论了在肛门瘘手术中可能遇到的困难和意外发现，以及如何克服这些困难。
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