肛瘘诊治指南2006（Guideline for diagnosis and treatment of anal fistula 2006）.docVIP

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肛瘘诊治指南2006（Guideline for diagnosis and treatment of anal fistula 2006）.doc

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肛瘘诊治指南2006（Guideline for diagnosis and treatment of anal fistula 2006）

肛瘘诊治指南2006（Guideline for diagnosis and treatment of anal fistula 2006） Guideline for clinical diagnosis and treatment of anal fistula (2006 Edition) 2009 09, 30 [large, medium and small] Tags: Xunyiwenyao guidelines for the diagnosis and treatment of anal fistula China Association of Chinese medicine anorectal Branch, Chinese Medical Association of colorectal surgery surgery branch of study group, China Association of integrative medicine in the diagnosis of Coloproctological Specialized Committee, standard reference archosyrinx (2002, draft) on the basis of the combination of evidence-based medical research results and expert opinions, formulate the guide of clinical diagnosis and treatment of anal fistula Chinese, for reference for clinicians. Anal fistula is a chronic and pathological channel between the perianal skin and rectum and anal canal. It is usually caused by the rupture or incision and drainage of the abscess around the anus and rectum. It is mainly related to the infection of the anal glands. Chinese medicine called anal fistual. Diagnosis I. Clinical Manifestations 1. symptoms: recurrent perianal swelling, pus, acute inflammation period of fever. 2., local examination: the external appearance, location and secretions can be seen by visual examination. Shallow anal fistula can be touched around the anus line like induration and behavior. The rectum refers to the mouth, the depression and the nodule. It can be used to assess the anal sphincter function approximately. 3. supplementary examination: (1) probe: preliminary exploration of the fistula. (2) anorectal examination: with hydrogen peroxide or methylene blue (concentration) in conjunction with, you can initially determine the location of the mouth. (3) fistulogrphy: using meglumine diatrizoate contrast medium, especially valuable for the diagnosis of complex anal fistula. (4) transrectal ultrasound: To observe the direction, the internal orifice and the relationship between the fistula and the sphi