SURGICAL ASSESSMENT OF ACUTE ANORECTAL SEPSIS IS A BETTER PREDICTOR OF FISTULA THAN MICROBIOLOGICAL ANALYSIS

被引:26
作者
LUNNISS, PJ
PHILLIPS, RKS
机构
[1] ST MARKS HOSP,LONDON EC1V 2PS,ENGLAND
[2] UNIV LONDON ST BARTHOLOMEWS HOSP & MED COLL,PROFESSORIAL SURG UNIT,LONDON EC1A 7BE,ENGLAND
关键词
D O I
10.1002/bjs.1800810314
中图分类号
R61 [外科手术学];
学科分类号
摘要
Twenty-two patients with acute anorectal sepsis were examined prospectively to compare surgical assessment in with microbiological analysis as predictors of the aetiology of the sepsis. Culture of gut organisms was a sensitive method of detecting an underlying fistula but was not particularly specific (80 per cent). Demonstration of sepsis in the intersphincteric space in association with an anorectal abscess was 100 per cent sensitive and 100 per cent specific for detection of an underlying fistula. The demonstration was facilitated by a radially placed incision.
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页码:368 / 369
页数:2
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