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肛周皮肤局部切除治疗肛门瘙痒症:一例报告

Local excision of perianal skin for pruritus ani: a case report.

作者信息

Zhang Liman, Yang Jie, Wang Qiang, Wang Lili, Zhang Tianpeng

机构信息

Anorectal Department, Shijiazhuang Traditional Chinese Medical Hospital, 233 Zhongshan Road, Shijiazhuang 050001, China.

出版信息

J Surg Case Rep. 2025 Aug 26;2025(8):rjaf664. doi: 10.1093/jscr/rjaf664. eCollection 2025 Aug.

Abstract

Pruritus ani is a neurofunctional dermatological condition frequently encountered in proctology, characterized by persistent perianal itching that can significantly compromise the patient's quality of life. This case report details a 48-year-old male patient with a 4-year history of perianal itching. Following local excision of the perianal skin, the wound healed satisfactorily on postoperative day 32 and achieved complete resolution of itching symptoms, with the patient attaining full recovery by day 40, thereby demonstrating remarkable clinical efficacy. Additionally, this report reviews relevant literature to investigate the diagnostic and therapeutic approaches for pruritus ani.

摘要

肛门瘙痒症是一种在直肠病学中经常遇到的神经功能性皮肤病,其特征是肛周持续瘙痒,这会严重影响患者的生活质量。本病例报告详细介绍了一名48岁男性患者,有4年肛周瘙痒病史。肛周皮肤局部切除术后,伤口在术后第32天愈合良好,瘙痒症状完全消失,患者在第40天完全康复,从而显示出显著的临床疗效。此外,本报告回顾了相关文献,以探讨肛门瘙痒症的诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e673/12380466/cb92cd90e0e3/rjaf664f1.jpg

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