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如何处理免疫抑制患者的复杂性肛瘘

How to deal with complex anal fistula in an immunosuppressed patient.

作者信息

De Robles Marie S, Winn Robert D R

机构信息

Department of Colorectal Surgery, Wollongong Hospital, Wollongong, New South Wales, Australia.

出版信息

ANZ J Surg. 2020 Sep;90(9):1764-1765. doi: 10.1111/ans.16059. Epub 2020 Jun 13.

DOI:10.1111/ans.16059
PMID:32533736
Abstract

We describe a practical approach to the management of complex anal fistula in an immunocompromised patient. We define our treatment motifs: to close the internal opening, maintain external drainage until internal opening and tract healed; minimize sphincter damage. We hope other authors can build on this case technique to improve fistula surgery outcomes.

摘要

我们描述了一种针对免疫功能低下患者复杂肛瘘的实用管理方法。我们明确了治疗原则：封闭内口，在内外口及瘘管愈合前保持外引流；尽量减少括约肌损伤。我们希望其他作者能在此病例技术基础上进一步改进肛瘘手术效果。

相似文献

1
How to deal with complex anal fistula in an immunosuppressed patient.如何处理免疫抑制患者的复杂性肛瘘
ANZ J Surg. 2020 Sep;90(9):1764-1765. doi: 10.1111/ans.16059. Epub 2020 Jun 13.
2
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High ligation of the anal fistula tract by lateral approach: A prospective cohort study on a modification of the ligation of the intersphincteric fistula tract (LIFT) technique.侧方高位结扎肛痿管：改良经括约肌间痿管结扎术（LIFT）技术的前瞻性队列研究。
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An experience with video-assisted anal fistula treatment (VAAFT) with new insights into the treatment of anal fistulae.视频辅助肛瘘治疗（VAAFT）的经验及对肛瘘治疗的新见解。
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Excision of anal fistula with closure of the internal opening: functional and manometric results.肛瘘切除并封闭内口：功能及测压结果
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Transanal opening of intersphincteric space (TROPIS) - A new procedure to treat high complex anal fistula.经肛门括约肌间切开术（TROPIS）——一种治疗高复杂性肛瘘的新方法。
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[Sphincter-preserving surgery of trans-sphincteric anal fistulas].经括约肌型肛瘘的保留括约肌手术
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Drained mucosal advancement flap versus rerouting Seton around the internal anal sphincter in treatment of high trans-sphincteric anal fistula: A randomized trial.经肛门内括约肌黏膜切开引流术与经肛门内括约肌改道术治疗高位经括约肌型肛瘘的随机对照研究。
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The Value of Transrectal Ultrasound in the Preoperative Diagnosis of Complex Anal Fistula (CAF): Based on a Retrospective Cohort Study.经直肠超声在复杂性肛瘘（CAF）术前诊断中的价值：基于回顾性队列研究。
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