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1. 肛門直腸瘻の外科的マネージメントoperative management of anorectal fistulas [show details]
… modified Hanley procedure is performed in difficult cases of anorectal fistulas, including patients with: Horseshoe fistulas; Ischiorectal fistulas; Deep postanal abscesses with fistulas; Recurrent fistulas; …
2. 肛門直腸瘻：臨床症状、診断、およびマネージメントの原則anorectal fistula clinical manifestations diagnosis and management principles [show details]
…in the anus or rectum with the perirectal skin . Anal fistulas are sometimes also referred to as "fistula-in-ano." The true prevalence of anal fistulas is unknown, as anorectal discomfort is often attributed …
3. クローン病の肛門病変perianal crohn disease [show details]
… luminal Crohn disease are discussed in detail separately: The diagnosis and management of anal fistula and perianal abscess in patients who do not have Crohn disease are discussed separately: …
4. 肛門周囲膿瘍と直腸周囲膿瘍perianal and perirectal abscess [show details]
… Anal fistula – An anal fistula is an epithelialized track that connects the abscess with skin or adjacent organs. Anorectal abscesses can present with a concomitant anal fistula.… Most horseshoe abscesses originate from the deep posterior anal space deep to the external sphincter and inferior to the levator ani muscle,…
5. 肛門膿瘍および瘻孔の評価における画像検査の役割the role of imaging tests in the evaluation of anal abscesses and fistulas [show details]
… rectum. These early pilot studies yielded promising results with the sensitivity for visualizing anal fistulas greater than 90 percent . Several centers have tried to increase the sensitivity of ultrasound …

Japanese Journal

CH-4-3 深部痔瘻に対するMRI navigating seton(CH-4 地域医療関連セッション(4)「肛門疾患のベストプラクティス」,第114回日本外科学会定期学術集会)

加川隆三郎
日本外科学会雑誌 115(臨時増刊号_2), 274, 2014-03-05
NAID 110009869113

VI．深部痔瘻の治療

辻順行,家田浩男,宮田美智也,中村寧,緒方俊二,佐伯泰愼,福永光子,田中正文,村田隆二,山田一隆,高野正博
日本大腸肛門病学会雑誌 66(10), 1044-1058, 2013
… 坐骨直腸窩・骨盤直腸窩痔瘻の以前の治療法では，筋間痔瘻と同様に痔瘻の全開放術が行われている．しかし過去に出版された教科書には，深部痔瘻に開放術が施行されると，直腸が前方に移動する可能性や，症例により術後の便失禁がかなりの頻度で発生することが報告されている．事実低位筋間痔瘻で開放術後の肛門内圧（静止圧）を調べてみると，側方の開放術は後方の開放術よりも有意に静止圧が低下している …
NAID 130003385070