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Home > West Medicine > Surgery > General Surgery
K60.300

Anal Fistula

肛肠科

Common symptoms

老年大便失禁、直肠肛门内胀痛不适、排粪时肛门灼痛、肛门短时间阵发性钝痛、肛管括约肌横断、肛门瘙痒、肛旁脓肿、肛周皮肤潮红、肛门疼痛、肛门会阴区潮湿不洁

The pathology of disease

Anal fistula is chronic epithelialized tract from anal gland crypt to perianal skin (after abscess), presenting with recurrent drainage/pain/swelling. Treatment: surgical fistulotomy (low tract); seton drainage (high/complex); LIFT (ligation of intersphincteric fistula tract); advancement flap; treat underlying Crohn disease; antibiotics for acute infection; monitor for recurrence/incontinence; follow-up imaging (MRI/endoanal ultrasound) for complex; hygiene.

Common Symptoms

Recurrent drainage; pain; swelling; after perianal abscess

Causes and Pathogenesis

Anal gland infection forms tract to perianal skin.

Treatment

Surgical fistulotomy/seton/LIFT; treat Crohn; prevent recurrence

Preventive Measures

Early abscess drainage; treat Crohn disease.

Department to Visit

It is recommended to visit the Anorectal/Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.