항문 직장농양에 대한 임상분석

Abstract

This article is a review of the experience on 125 patients with anorectal abscesses who admitted to Keimyung University Dongsan hospital from Jan. 1987 to April 1989. Of these patients, 108 were male and 17 were female. The distribution of the abscesses was perianal in 42 patients, low intermuscular in 18, high intermuscular in 5, pelvirectal in 2, submucosal in 2 and atypical in 6. Incision and drainage was performed in 88 patients, excision of the analglandular tract and internal sphincterotomy was performed in 26 patients with an ichiorectal abscess, and wide drainage and excision of the analglandular tract was performed in 11 patients. For the 88 patients who underwent incision and drainage alone, follow up studies were not available to give any reliable recurrence rate. There was no recurrence of the fistula or abscess in 26 patients who had an excision of the glandular tract and internal sphincterotomy. There was a recurrence of the fistula in two out of the 11 patients who had a wide drainage and excesion of the anal glandular tract. This review shows that a one stage operation can be curative with a minimal recurrence rate when performed properly for an anorectal abscess.