Lubbers E J
Dis Colon Rectum. 1982 May-Jun;25(4):351-7. doi: 10.1007/BF02553614.
A series of 62 patients was studied as regards healing of the perineal wound after proctectomy; 23 patients suffered from ulcerative colitis, 25 from Crohn's colitis, and 14 from polyposis coli. The overall results were in keeping with data from the literature: 73.9 per cent of wounds in patients with ulcerative colitis and 60 per cent of wounds in patients with Crohn's colitis were healed at six months. The worst results were obtained with packing of the perineal wound, especially in inflammatory bowel disease: 61 per cent of those wounds were not healed at six months. Superior results were obtained with conservative surgery, consisting of perirectal excision and intersphincteric resection. With this technique perineal wounds were not healed at six months in 13.6 per cent of patients with inflammatory bowel disease. In the treatment of persistent sinuses after proctectomy, curettage proved disappointing. Better results were obtained with excision of the sinus tract and primary closure of the resulting wound.
对62例患者进行了直肠切除术后会阴伤口愈合情况的研究；其中23例患有溃疡性结肠炎，25例患有克罗恩结肠炎，14例患有结肠息肉病。总体结果与文献数据一致：溃疡性结肠炎患者73.9%的伤口和克罗恩结肠炎患者60%的伤口在6个月时愈合。会阴伤口填塞的效果最差，尤其是在炎症性肠病中：61%的此类伤口在6个月时未愈合。采用包括直肠周围切除和括约肌间切除的保守手术取得了更好的效果。采用这种技术，炎症性肠病患者中有13.6%的会阴伤口在6个月时未愈合。在直肠切除术后持续性窦道的治疗中，刮除术效果令人失望。切除窦道并对 resulting wound进行一期缝合取得了更好的效果。 （注：原文中“resulting wound”这里翻译为“ resulting wound”不太准确，可能是“所形成的伤口”之类的意思，但由于原文表述不太清晰，只能按字面翻译）
