Ferrari B T, DenBesten L
World J Surg. 1980;4(2):167-72. doi: 10.1007/BF02393569.
There is a high reported incidence of persistent perineal sinus after proctectomy for inflammatory bowel disease. The cause and prevention are discussed. In a consecutive series, persistent perineal sinuses occurred in 4 of 17 patients with Crohn's colitis, and in none of 20 patients with ulcerative or unclassified colitis (1 died soon after operation). The technique is described for patients with a sinus persisting for more than 6 months, using total excision, primary closure, and suction drainage. Six of 7 patients so treated healed primarily and the seventh healed within 2 weeks. In males, sexual dysfunction was often decreased.
据报道，炎性肠病行直肠切除术后持续性会阴窦的发生率很高。本文对其病因及预防方法进行了讨论。在一个连续病例系列中，17例克罗恩结肠炎患者中有4例出现持续性会阴窦，而20例溃疡性结肠炎或未分类结肠炎患者中无一例出现（1例术后不久死亡）。本文描述了针对会阴窦持续超过6个月患者的治疗技术，采用完全切除、一期缝合和负压引流。接受该治疗的7例患者中，6例一期愈合，第7例在2周内愈合。男性患者的性功能障碍通常有所减轻。
