为什么有些肛周脓肿需要二次手术 周春华 浙江大学医学院附属杭州市第一人民医院 скачать в хорошем качестве

为什么有些肛周脓肿需要二次手术 周春华 浙江大学医学院附属杭州市第一人民医院

为什么有些肛周脓肿需要二次手术 周春华 浙江大学医学院附属杭州市第一人民医院 肛周脓肿的二次手术在临床上还是比较常见的，因为肛周脓肿起源于我们成人的肛腺受干硬大便的损伤，细菌感染从肛腺感染通过它特有的腺管，蔓延到肛门的周围形成肛周脓肿，肛周脓肿如果距肛门比较近，我们往往采取一次性手术的办法去给它处理掉，就可以按肛瘘一样一次性切开我们叫一次性根治手术，当然根治也是相对的有时候因为内口不是太准确，也有可能造成二次手术的情况，当然95%以上的人能避免二次手术，这是距肛门比较近的脓肿的情况另外脓肿是高位脓肿起源虽然是肛腺，但蔓延的位置比较深脓腔比较大，距肛门距离比较远，这种情况往往需要二次手术，第一次手术只能把脓肿切开把脓液充分的引流，解决肛门肿痛的问题。因为肛周脓肿是肛肠科最痛的病，病人来了都痛的受不了，非常痛有些深部的脓肿有发热、畏寒有些人出现全身毒血症状乏力、出现毒血症状，这种脓肿往往需要做二期，一期只能把脓液进行引流，一般脓肿引流掉以后，因为肛管里内口的存在，往往脓肿引流掉以后从一个脓腔慢慢变成一个隧道，跟肛门里面感染的内口是连起来，感染性隧道我们叫肛瘘，这种肛瘘需要再做一次根治性手术，才能把这次感染算彻底治愈，这种手术的时期一般在三个月以后两到三个月以后。 Why do some perianal abscesses need a second operation The secondary operation of perianal abscess is common in clinic, Because perianal abscess originates from the injury of our adult anal gland caused by dry and hard stool, Bacterial infection from the anal gland through its unique glandular ducts, It spreads around the anus to form perianal abscess, If perianal abscess is close to anus, We often take one-off surgery to get rid of it, It can be cut in one time just like the anal fistula. We call it one-time radical operation, Of course, radical cure is also relative sometimes because the inner mouth is not too accurate, It may also cause a secondary operation, Of course, more than 95% of people can avoid secondary surgery, This is the abscess close to the anus. In addition, the abscess is a high abscess, although it originated from the anal gland, But the location of the spread is deeper and the purulent cavity is larger, It's far from the anus, This often requires a second operation, The first operation can only cut the abscess open and drain the pus fully, Solve the problem of anal swelling and pain. Because perianal abscess is the most painful disease in anorectal department, I can't stand the pain when the patient comes, It's very painful. Some deep abscesses have fever, chills. Some people have symptoms of systemic toxic blood, weakness, and toxic blood, This abscess often requires a second stage, At one stage, the pus can only be drained, After the abscess is drained, Because of the presence of an inner opening in the anal canal, Often, after the abscess is drained, it changes from a purulent cavity to a tunnel, It's connected to the infected mouth inside the anus, The infectious tunnel is called anal fistula, This anal fistula requires another radical operation, To cure the infection completely, The period of this operation is usually two to three months after three months.