小结
定义
病史和体格检查
关键诊断因素
- 肛瘘
- 克罗恩病病史
- 男性
- 肛周疼痛
- 肛周或直肠硬结
其他诊断因素
- 肛周肿胀
- 低热
- 心动过速
- 排便习惯改变
- 直肠出血
- 不能排尿
危险因素
- 肛瘘
- 克罗恩病
- 男性
- 粪便干结
- 年龄为 20 至 40 岁
诊断性检查
首要检查
- 临床检查
- 麻醉下检查
需考虑的检查
- 白细胞计数
- 血清葡萄糖
- 血清电解质
- 肛门超声
- 骨盆 CT
- 盆腔 MRI
- 脓液镜检和/或培养
治疗流程
所有患者
撰稿人
作者
Jan Rakinic, MD, FACS, FASCRS
Professor of Surgery
Chief
Section of Colorectal Surgery
Southern Illinois University School of Medicine
Springfield
IL
利益声明
JR is an author of a reference cited in this topic.
鸣谢
Dr Jan Rakinic would like to gratefully acknowledge Dr C. Neal Ellis, a previous contributor to this topic. CNE declares that he has no competing interests.
同行评议者
Mark H. Whiteford, MD
Assistant Professor of Surgery
Colon and Rectal Surgery
Gastrointestinal and Minimally Invasive Surgery Division
The Oregon Clinic
Portland
OR
利益声明
MHW declares that he has no competing interests.
Neil Hyman, MD
Chief
Division of General Surgery
Professor of Surgery
Fletcher Allen Healthcare
Burlington
VT
利益声明
NH declares that he has no competing interests.
Steven Brown, MBChB, FRCS, MD, BMedSci
Consultant Surgeon
Department of Colorectal Surgery
Sheffield Teaching Hospitals
Sheffield
UK
利益声明
SB declares that he has no competing interests.
鉴别诊断
- 肛裂
- 血栓痔
- 藏毛脓肿
更多 鉴别诊断指南
- 肛门直肠脓肿、肛瘘和直肠阴道瘘的临床管理指南
更多 指南
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