Harper P H, Kettlewell M G, Lee E C
Br J Surg. 1982 Oct;69(10):608-10. doi: 10.1002/bjs.1800691017.
The effect of 32 split ileostomies on 29 patients with severe symptomatic perianal Crohn's disease is reported. The perianal disease improved or healed after 23 (72 per cent) split ileostomies, although it relapsed in 2 patients while diverted and in 6 after closure of split ileostomy. Seven of 12 rectovaginal fistulas healed initially but only remained healed in those patients without rectal involvement with disease. At the time of review 6 patients have normal bowel continuity, 8 have had proctocolectomies and 15 are still defunctioned. Split ileostomy should be considered as an initial step in the management of intractable perianal disease.
报告了32例分流回肠造口术对29例有严重症状的肛周克罗恩病患者的影响。23例（72%）分流回肠造口术后肛周疾病得到改善或愈合，不过有2例在造口分流期间复发，6例在分流回肠造口关闭后复发。12例直肠阴道瘘中有7例最初愈合，但仅在直肠未受累的患者中保持愈合。在复查时，6例患者肠道连续性正常，8例行直肠结肠切除术，15例仍处于肠道转流状态。分流回肠造口术应被视为顽固性肛周疾病治疗的初始步骤。
