Ryan J A
Am J Surg. 1984 Jul;148(1):64-70. doi: 10.1016/0002-9610(84)90290-3.
A persistent perineal sinus may develop in patients undergoing proctocolectomy for inflammatory bowel disease. Healing may resist the traditional methods of wound management. Wide excision including coccygectomy, transposition of the vascularized gracilis muscle flap into the rigid cavity, and wound closure have led to healing in 12 of 15 patients and vast improvement in two others. There has been only one failure. Aggressive reoperation can achieve success after initial failure. Women may present a more difficult challenge than men. A primary wound healing deficit may be present.
接受炎性肠病直肠结肠切除术的患者可能会出现持续性会阴窦。愈合可能会抵抗传统的伤口处理方法。广泛切除包括尾骨切除术、将带血管蒂的股薄肌瓣转移至坚硬的腔隙以及伤口闭合，已使15例患者中的12例愈合，另外2例有显著改善。仅1例失败。初次失败后积极再次手术可取得成功。女性可能比男性面临更困难的挑战。可能存在原发性伤口愈合缺陷。
