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使用Kṣārasūtra治疗罕见的、低位肛门前瘘（不符合古德索尔法则）

Management of rare, low anal anterior fistula exception to Goodsall's rule with Kṣārasūtra.

作者信息

Shindhe Pradeep S

机构信息

Department of Shalya Tantra, KLE University's Shri. B. M. Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belgaum, Karnataka, India.

出版信息

Anc Sci Life. 2014 Jan;33(3):182-5. doi: 10.4103/0257-7941.144624.

DOI:10.4103/0257-7941.144624
PMID:25538355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4264308/
Abstract

Anal fistula (bhagandara) is a chronic inflammatory condition, a tubular structure opening in the ano-rectal canal at one end and surface of perineum/peri-anal skin on the other end. Typically, fistula has two openings, one internal and other external associated with chronic on/off pus discharge on/off pain, pruritis and sometimes passing of stool from external opening. This affects predominantly male patients due to various etiologies viz., repeated peri-anal infections, Crohn's disease, HIV infection, etc., Complex and atypical variety is encountered in very few patients, which require special treatment for cure. The condition poses difficulty for a surgeon in treating due to issues like patient hesitation, trouble in preparing kṣārasūtra, natural and routine infection with urine, stool etc., and dearth of surgical experts and technique. We would like to report a complex and atypical, single case of anterior, low anal fistula with tract reaching to median raphe of scrotum, which was managed successfully by limited application of kṣārasūtra.

摘要

肛瘘（bhagandara）是一种慢性炎症性疾病，是一种管状结构，一端开口于肛管直肠，另一端开口于会阴/肛周皮肤表面。通常，肛瘘有两个开口，一个内口和一个外口，伴有慢性的脓性分泌物排出、间歇性疼痛、瘙痒，有时粪便会从外口排出。由于多种病因，如反复的肛周感染、克罗恩病、HIV感染等，这种疾病主要影响男性患者。极少数患者会出现复杂和非典型的肛瘘类型，需要特殊治疗才能治愈。由于患者犹豫、制备药线困难、尿液和粪便等自然和常规感染以及手术专家和技术匮乏等问题，这种疾病给外科医生的治疗带来了困难。我们想报告一例复杂且非典型的低位前肛瘘病例，瘘管延伸至阴囊中缝，通过有限地应用药线成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/cdbbb213e373/ASL-33-182-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/0e3ebf16f9cb/ASL-33-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/ccc0c2538ac2/ASL-33-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/335cb2e40855/ASL-33-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/5ad1e334dbfd/ASL-33-182-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/cdbbb213e373/ASL-33-182-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/0e3ebf16f9cb/ASL-33-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/ccc0c2538ac2/ASL-33-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/335cb2e40855/ASL-33-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/5ad1e334dbfd/ASL-33-182-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8556/4264308/cdbbb213e373/ASL-33-182-g005.jpg

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