难治性克罗恩病肛瘘合并严重感染的成功管理经验总结(1例报告)  

Summary of successful treatment and manage experience of refractory Crohn′s disease anal fis⁃tula complicated with severe infection(1 case report)

作　　者：阮剑敏 李永洁[2] 林洁梅[2] 刘莉[2] RUAN Jian-Min;LI Yong-Jie;LIN Jie-mei;LIU Li(Department of Digestive Endoscopy Center,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China;Department of Gastroenterology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院消化内镜中心,广州510120 [2]中山大学孙逸仙纪念医院消化内科,广州510120

出　　处：《岭南现代临床外科》2024年第3期199-205,共7页Lingnan Modern Clinics in Surgery

摘　　要：目的总结1例克罗恩病肛瘘合并肛周脓肿的重症患者的治疗与护理经验。方法回顾性分析中山大学孙逸仙纪念医院消化内科收治1例克罗恩病肛瘘合并肛周脓肿患者的临床治疗资料。结果患者经内科治疗与护理65天后情况好转出院。结论克罗恩病合并肛瘘、肛周脓肿,临床治疗棘手,治疗成功的关键在于多学科联合治疗及个体化管理措施。Objective To introduce the successful treatment and management experience of a severe patient with perianal fistulizing Crohn′s disease(pfCD)and perianal abscess.Methods The clinical data of a patient with pfCD complicated with perianal abscess admitted to the Gastroenterology Dept.of Sun Yat⁃sen Memorial Hospital of Sun Yat⁃sen University were retrospectively analyzed.Results The patient′s condition was improved and discharged after 65 days of disease management.Conclusion pfCD with perianal abscess is clinically challenging to treat.The key to successful treatment lies in multi⁃disciplinary team(MDT)combined treatment and individualized management measures.

关 键 词：克罗恩病 肛瘘 肛周脓肿 肛瘘冲洗 

分 类 号：R657.1[医药卫生—外科学]