高位复杂性肛瘘合并女性骶前囊肿1例并文献回顾  

One case of high complexity anal fistula complicated with female presacral cyst and literature review

作　　者：袁润 张株惠 田瑞 姜芸 雷沥 李华山[1] YUAN Run;ZHANG Zhuhui;TIAN Rui;JIANG Yun;LEI Li;LI Huashan(Department of Proctology,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院肛肠科,北京100053

出　　处：《中国医药导报》2023年第33期184-187,共4页China Medical Herald

基　　金：国家自然科学基金面上项目(81673988)。

摘　　要：一直以来,高位复杂性肛瘘是肛肠科公认的疑难病种,而骶前囊肿的发生率低,认识尚浅,手术难度大,同样为肛肠医务工作者提出不小的难题。骶前囊肿常误诊为肛瘘,两者的发病机制和鉴别诊断有待进一步认识。本研究从1例反复发作的高位复杂性肛瘘女性患者入手,及时发现有漏诊骶前囊肿的存在。考虑其囊肿与高位复杂性肛瘘发病关系密切,顺势延长切口,彻底切除窦道及完整剥离肿物。通过回顾分析诊治经过及前沿进展,以期为临床诊疗提供参考。For a long time,high complexity anal fistula has been recognized as a difficult disease in proctology department,while the incidence of presacral cyst is low,the understanding is still shallow,and the operation is difficult,which also poses no small problem for anorectal medical workers.Presacral cyst is often misdiagnosed as anal fistulas,and their pathogenesis and differential diagnosis remain to be further understood.In this paper,a female patient with recurrent high complexity anal fistula was found to have missed presacral cyst.Considering the close relationship between the cyst and the incidence of high complexity anal fistula,the incision was lengthened and the sinuses were removed completely and the mass was completely removed.Through the review and analysis of the diagnosis and treatment process and frontier progress,in order to provide reference for clinical diagnosis and treatment.

关 键 词：高位复杂性肛瘘 骶前囊肿 盆底疾病 文献回顾 

分 类 号：R656[医药卫生—外科学]