| 王天夫.肛周化脓性汗腺炎的诊疗方案探讨[J].中国烧伤创疡杂志,2017,(5):348~350. |
| DOI： |
| 中文关键词: 肛周 化脓性汗腺炎 诊断 外科手术 回顾性研究 |
| 英文关键词:Diagnosis Surgery Retrospective studies Perianal Hidradenitis suppurativa |
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| 中文摘要: |
| 【摘要】 目的 探讨肛周化脓性汗腺炎的诊疗方法?方法 回顾性分析2010 年1 月—2015 年7 月沈阳市肛肠医院结直肠肛门外科收治的13 例肛周化脓性汗腺炎患者的诊疗经过, 并结合相关文献, 深入探讨该病的诊疗方法?结果 13 例患者中经超声诊断者6 例, 经MRI 诊断者7 例; 13 例患者均经手术治疗将病灶完整切除,其中2 例患者因病灶范围较大, 进行了分次手术治疗; 术后除1 例患者发生了切口感染, 经清创引流痊愈外, 其余患者均未发生感染; 11 例患者完成了6 个月～2 年的随访, 均未复发?结论 根据患者的临床症状及特点, 并结合超声及MRI 检测可准确诊断肛周化脓性汗腺炎; 通过术中超声检测, 彻底切开窦道并广泛切除病灶周围汗腺组织是肛周化脓性汗腺炎的有效治疗方法, 可防治创面感染?促进创面愈合?防止术后复发, 值得临床推广应用? |
| 英文摘要: |
| 【Abstract】Objective To analyze methods for diagnosis and treatment of perianal hidradenitis suppurativa Methods The diagnostic and treatment process of 13 patients with Perianal Hidradenitis Suppurativa admitted to Colon & Rectal Surgery Department of Shenyang Anorectal Hospital between January 2010 and July 2015 were reviewed. The diagnosis and treatment methods were explored with reference to some literatures. Results Among these 13 patients, 6 were diagnosed by ultrasonic testing and 7 were diagnosed by MRI inspection. Focuses in all these 13 patients were removed with operation and two patients underwent two-step surgery to remove their large focuses. After operation, one patient got incision infection, which was healed by debridement and drainage treatment and none of the rest got infection. No relapse was observed during a 6-24 month follow up of the 11 patients. Conclusion An accurate diagnosis of Perianal Hidradenitis Suppurativa can be made with ultrasonic and MRI diagnosis based on patients’ symptoms. It is an effective treatment for perianal hidradenitis suppurativa to cut open thoroughly the sinus tract and remove extensively the sweat gland around focus. It is worthy of being promoted in clinical practice in that it can prevent wound infection, promote wound healing and avoid relapse. |
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