OUTCOME OF PERIANAL FISTULAS IN CROHNS-DISEASE - VALUE OF HUGHES PATHOGENIC CLASSIFICATION

被引：12

作者：

FRANCOIS, Y ^{[1
]}

VIGNAL, J ^{[1
]}

DESCOS, L ^{[1
]}

机构：

[1] CTR HOSP LYON SUD,HOP CLAUDE BERNARD,SERV CHIRURG VISCERALE & DIGEST,F-69310 PIERRE BENITE,FRANCE

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1993年 / 8卷 / 01期

关键词：

D O I：

10.1007/BF00341275

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Applying the Hughes' pathogenic classification of anoperineal lesions of Crohn's disease, this study was conducted to find out its possible prognostic value in perianal fistulas. Thirty-eight patients with ano-perianal fistulas were included; primary specific lesions (condyloma, cavitating ulcer, fissure) were found in 22 patients (group 1) and were absent in the other 16 patients (group 2). Patients of group 1 underwent more abdominal surgical interventions (G 1: 68 %; G 2: 31 % - P = 0.05), as well as proctological interventions (G 1: 2.95 operations/patient vs 1.35 in G 2 - P = 0.01). Perfect continence was recorded ultimately in 31.8 % patients of G 1 compared to 62.5 % of G 2. This study shows the very poor prognosis of ano-perianal fistulas in Crohn's disease.

引用

页码：39 / 41

页数：3