克罗恩病合并复杂直肠会阴瘘和直肠阴道瘘行改良Bacon术二例报道
Application of modified Bacon surgery in Crohn's disease complicating with rectoperineal fistula and rectovaginal fistula:report of two cases
张梦婷 1李道江 1万松林 1任相海 1叶梅 2刘依 1丁召1
作者信息
- 1. 武汉大学中南医院结直肠肛门外科 炎症性肠病外科诊疗中心,武汉 430071
- 2. 武汉大学中南医院消化内科,武汉 430071
- 折叠
摘要
克罗恩病(CD)是一种发病机制尚不明确,主要累及消化道的自身免疫性疾病.直肠肛周受累是CD的复杂表现形式.难治性直肠肛管型CD是导致患者直肠切除和永久性肛门失功能的主要原因.近期我们中心对拟接受直肠切除的两例复杂直肠会阴瘘、直肠阴道瘘的CD患者实施了改良Bacon术.现将这两例病例资料进行总结报道.
Abstract
Crohn's disease(CD)is an autoimmune disease that mainly affects the digestive tract.Rectal and perianal involvement is a complex manifestation of CD.Refractory proctoanal type CD is the main cause of rectal resection and permanent anal dysfunction.Recently,our center performed modified Bacon surgery in two CD patients with complex rectoperineal and rectovaginal fistulas who were about to undergo rectotomy and enterostomy.The data of these two cases are summarized and reported.
关键词
克罗恩病/改良Bacon术/直肠阴道瘘/直肠会阴瘘Key words
Crohn's disease/Modified Bacon operation/Rectovaginal fistula/Rectoperineal fistula引用本文复制引用
基金项目
吴阶平医学基金会临床科研专项资助基金(320.6750.2023-11-12)
出版年
2024
NETL
NSTL
万方数据