基于治疗的肛门直肠感染三维分类与管理

Treatment-Based Three-Dimensional Classification and Management of Anorectal Infections.

作者信息

Ortega A E, Cologne K G, Shin J, Lee S W, Ault G T

机构信息

Division of Colorectal Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.

University of Southern California, LAC+USC Medical Center, Clinic Tower, Room 6A231-A, 1200 N. State Street, Los Angeles, CA, 90033, USA.

出版信息

World J Surg. 2017 Feb;41(2):574-589. doi: 10.1007/s00268-016-3767-8.

DOI:10.1007/s00268-016-3767-8

PMID:27766401

Abstract

This article provides a current overview on clinical anatomy, pathophysiology, workup and surgical management of anorectal abscesses. Based on the three-dimensional nature of anorectal abscesses, a novel treatment-based classification is proposed. It examines the basis of a philosophic shift from simple drainage to concomitant definitive treatment of abscesses and their underlying primary fistulous trajectories. Complications are discussed specifically in this context.

摘要

本文提供了关于肛管直肠周围脓肿临床解剖学、病理生理学、检查及外科治疗的最新综述。基于肛管直肠周围脓肿的三维特性，提出了一种新的基于治疗的分类方法。它探讨了从单纯引流到对脓肿及其潜在原发瘘管路径进行联合确定性治疗这一理念转变的基础。并在此背景下具体讨论了并发症。