Several problems needing attention in the diagnosis and treatment of common perianal benign diseases
10.3760/cma.j.cn441530-20241012-00339
- VernacularTitle:常见肛周良性疾病的治疗思考
- Author:
Feng GAO
1
;
Chunfang GAO
Author Information
1. 联勤保障部队第940医院结直肠肛门外科，兰州 730050
- Publication Type:Journal Article
- Keywords:
Perianal benign disease;
Hemorrhoids;
Anal fistula;
Anal fissure;
Perianal abscess;
Diagnosis and Treatment
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(12):1213-1220
- CountryChina
- Language:Chinese
-
Abstract:
Hemorrhoids, anal fissure, anal fistula and perianal abscess are the most common benign diseases around the anus, which obviously affect people's life and work, and need to be well diagnosed and treated. Based on damage control, the treatment principle is to eliminate relevant disease symptoms and protect the anal function at the same time. Perianal benign diseases are common and frequently occurring, which can be diagnosed and treated in many non-specialist hospitals. Therefore, there is great heterogeneity in the level of diagnosis and treatment, and related complications may occur due to iatrogenic factors such as the selection of treatment strategies, resulting in certain medical risks and subsequent passive treatment. Conservative treatment of internal hemorrhoids at degree I-II and acute anal fissure can achieve good results; internal hemorrhoids at degree III-IV, external hemorrhoids, anal fistula and perianal abscess can only be cured by surgery. The surgeon should pay attention to the protection of anal pad tissue and sphincter function to prevent serious complications such as postoperative anal stenosis and defecation dysfunction. It is imperative to accurately evaluate the specific clinical characteristics of each patient, formulate individualized treatment plans, and combine multiple treatment approaches.
