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頁籤選單縮合
題名 | Tuberculous Anal Fistula=結核菌肛門瘻管 |
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作者 | 王煥輝; 江支銘; 張簡俊榮; 陳鴻華; 謝寶秀; Wong, Huang-hui; Chiang, Jy-ming; Chang Chien, Chung-rong; Chen, Hong-hwa; Shieh, Pao-shiu; |
期刊 | 中華民國大腸直腸外科醫學會雜誌 |
出版日期 | 20010600 |
卷期 | 12:2 2001.06[民90.06] |
頁次 | 頁62-65 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 肛門瘻管; 結核菌; 肛門膿瘍; 肺外結核病; Extrapulmonary tuberculosis; Tuberculous anal fistula; Abscess; |
中文摘要 | 結核菌引起肛門周圍感染屬於罕見,不過偶而還是會碰到這些特殊的病例。我們回朔探討從1996年1月份至2000年12月份,五年內本院所遇到的五件案例的臨床表現,檢查,病理診斷,治療及療效,有三件案例以�硎牏褻}後兩個月傷口尚未癒合,另二件案例以肛門周圍以微痛,漸漸變大的腫塊表現,這五件案例的手術標都有找到結核菌感染的跡象。有兩件案例合併有肺結核病。有四個病人接受了3至4個月的抗結核菌藥物治療。另一個病人則因為手術後沒有回門診追蹤。不過數個月後經電話連絡得知其�硎瓾鷁M沒有接受抗結核菌藥物治療,但已痊癒。有接受藥物治療的案例,�硎瑋怮幙ㄕ陴玲﹛C |
英文摘要 | Tuberculous anal fistula is rare in daily clinical practice. To highlight the clinical manifestations and management of the disease, we retrospectively reviewed the clinical presentations, diagnosis and management of 5 patients with tuberculous perianal fistula whom we treated between January 1996 and December 2000. Three of the patients presented with unhealed fistulotomy wounds with persistent discharged that was slightly different from that of the usual fistulotomy wound. The other 2 cases presented as slow growing, slightly tender, and painful nodules. After surgery, all specimens were pathologically proved to be of tuberculous origin. Anti-tuberculosis drugs wer given to these patients regardless of whether there was concomitant pulmonary tuberculosis. The responses to medication were very satisfactory. All fistulae healed without undue sequelae. |
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