van Dongen L M, Lubbers E J
Arch Surg. 1986 Oct;121(10):1187-90. doi: 10.1001/archsurg.1986.01400100099019.
A series of 55 patients with perianal fistulas and Crohn's disease is reported herein. Thirteen patients (24%) did not need specific treatment of the fistula. Primary proctectomy was necessary in five patients. Defunctioning enterostomy was used in nine patients, followed by healing of the fistula in four patients. Local surgery of the fistula was performed in 28 patients, with an overall success rate of 79%. Healing of the fistula was not influenced by activity of the disease, type of fistula, or condition of the rectum. Local surgery did not cause incontinence in this series.
本文报告了55例肛周瘘管合并克罗恩病的患者。13例患者（24%）无需对瘘管进行特殊治疗。5例患者需要进行原发性直肠切除术。9例患者采用了转流性肠造口术，其中4例患者的瘘管愈合。28例患者接受了瘘管局部手术，总体成功率为79%。瘘管的愈合不受疾病活动度、瘘管类型或直肠状况的影响。在本系列中，局部手术未导致失禁。
