肛周脓肿会形成肛瘘吗 张龙江 河南省中医院 скачать в хорошем качестве

肛周脓肿会形成肛瘘吗 张龙江 河南省中医院

肛周脓肿会形成肛瘘吗 张龙江 河南省中医院 有90%以上的肛周脓肿它都是肛隐窝，肛隐窝感染以后形成的肛周脓肿，所以说这一种肛周脓肿又叫腺源性肛周脓肿，就是说肛门周围一个肛腺感染形成脓肿，这种脓肿不管它是自行破溃或者是你到医院给他穿刺排脓、或者是切开排脓以后它都会形成肛瘘，所以说肛周脓肿形成的肛瘘几率是非常大；所以说有经验的大夫就是做肛周脓肿手术的时候，就是直接得给你那个肛隐窝切除，直接给你把肛瘘一并给你做，就是说把防止肛瘘形成的一些手术一块都做了，只有一少部分的病人他的肛周脓肿不是肛源性，比如说一些异物、鱼刺、枣核、尖锐枣核它排到肛门的时候，它刺伤致肠壁形成这种脓肿，这种脓肿不属于腺源性，这种脓肿如果有一部分人他不形成肛瘘，但是也有部分人他会形成肛瘘，所以说这个肛周脓肿就是做手术的情况下，一定要把感染的肛隐窝一块切除。你不能单单的做切开引流，所以说这个你单独切开引流，形成肛瘘几率几率是非常非常高的。 Can perianal abscess form anal fistula More than 90% of perianal abscesses are anal crypts, Perianal abscess formed after infection of anal crypt, So this kind of perianal abscess is also called adenogenic perianal abscess, That is to say, an anal gland around the anus is infected to form an abscess, This abscess will form an anal fistula no matter whether it breaks itself or you go to the hospital to puncture it or cut it, So the probability of perianal abscess is very high; So an experienced doctor is the one who does perianal abscess surgery, You need to have that anal recess removed, I'll give you the anal fistula, That is to say, we have done some operations to prevent the formation of anal fistula, Only a few patients have perianal abscesses that are not anal, For example, when some foreign bodies, fishbones, jujube nuclei and sharp jujube nuclei are discharged to the anus, It stabbed the wall of the intestine to form this abscess, This abscess is not adenogenic, If some of these abscesses don't form anal fistula, But some people have anal fistula, So this perianal abscess is under the condition of operation, Be sure to remove the infected anal recess. You can't just cut and drain, So you cut and drain this one alone, The probability of anal fistula is very high.