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| Diagnosis and treatment of penetrating anorectal wounds | |
| 作者姓名： | 刘新生 惠希增 张阳德 李琨 |
| 作者单位： | [1]Hepatobiliary ＆ Enteric Surgery Department, the Third Affiliated Hospital, Xinxiang Medical College, Xinxiang 450003, China [2]Hepatobiliary Surgery Department, Rizhao People＇s Hospital, Rizhao 276800, China [3]Hepatobiliary ＆ Enteric Surgery Research Center, Xiangya Hospital, Changsha 410008, China |
| 摘 要： | Penetratingwoundofanalcanalisrelativelyrareinclinic.Concomitantinjuriesofrectum,urinarybladderorposteriorurethraareoftenpresent.Misseddiagnosisorimpropertreatmentcancause complicationssuchaspelvicabscess,analstenosis,fecalincontinenceandrecto vesicalfistula.Sixteen casesofpenetratinganotectalwoundsweretreatedin ourhospitalfrom1985to2004.Goodresultswere obtained.Thedetailsaredescribedinthisarticle.METHODS GeneraldataTherewere16malepatientsof penetratinganorectalwounds,aged1852years(average3… |
| 关 键 词： | 肛门损伤 直肠损伤 治疗 诊断 |
| 收稿时间： | 2004-11-13 |
Diagnosis and treatment of penetrating anorectal wounds |
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| LIU Xin-sheng,HUI Xi-zeng,ZHANG Yang-de,LI Kun.Diagnosis and treatment of penetrating anorectal wounds[J].Chinese Journal of Traumatology(English Edition),2006,9(1):56-58. | |
| Authors: | LIU Xin-sheng HUI Xi-zeng ZHANG Yang-de LI Kun |
| Institution: | 1. Hepatobiliary & Enteric Surgery Department, the Third Affiliated Hospital, Xinxiang Medical College, Xinxiang 450003, China 2. Hepatobiliary Surgery Department, Rizhao People's Hospital, Rizhao 276800, China 3. Hepatobiliary & Enteric Surgery Research Center, Xiangya Hospital, Changsha 410008, China |
| Abstract: | Objective: To research the diagnosis and effective treatment of penetrating anorectal wounds. Methods: Retrospective analysis was done in 16 cases of penetrating anorectal wounds from 1985 to 2004. Debridement and suture of anorectal and vesical wounds, effective diversion of fecal and urinary stream and sufficient presacral drainage were performed in all cases.Results: All the 16 cases were cured. Among them, 2 cases with infection in presacral space were cured by sufficient drainage after operation, one case was cured by secondary repair after anal sphincter was repaired unsuccessfully and one case with rectovesical fistula was cured with conservative treatment. None of them suffered from complications such as anal stenosis, dysuria or importence etc. Conclusions: For penetrating anorectal wound, to master early recognition of concomitant injures, to select appropriate surgical intervention and to strengthen perioperative treatment are the keys to improve the curative effects. |
| Keywords: | Wounds penetrating Rectum Bladder Urethra Anal canal |
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