最近审阅: 31 九月 2020
最近更新: 20 九月 2019

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
更多 首要检查

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
更多 需考虑的检查

治疗流程

急性处理

撰稿人

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.

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.

同行评议者展开全部内容

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.

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.

Consultant Surgeon

Department of Colorectal Surgery

Sheffield Teaching Hospitals

Sheffield

UK

利益声明

SB declares that he has no competing interests.

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