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Diagnosis and treatment of perianal fistulas in Crohn's disease

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Author:: No author available

Journal Title:: WORLD CHINESE JOURNAL OF DIGESTOLOGY

Issue:: 20

DOI:: 10.3969/j.issn.1009-3079.2009.20.009

Key Word:: 肛瘘;克罗恩病;诊断;治疗

Abstract：克罗恩病并发肛瘘经过数年的发展会损伤肛门括约肌. 细致的肛管直肠检查能正确评价脓肿和肛瘘. 理想的治疗方法是选择合适药物与外科手术相结合. 伴有胃肠道炎症的患者必须结合药物治疗. 低位单纯性肛瘘可采用瘘管切开术, 复杂性肛瘘患者必须个体化治疗. 然而,选择正确的手术方法和药物治疗比较困难. 现就克罗恩肛瘘的诊断与治疗进行阐述.

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