慢性肛瘘癌变诊疗分析

山东大学学报(医学版) ›› 2209, Vol. 47 ›› Issue (6): 55-57.

慢性肛瘘癌变诊疗分析

吕艳锋丁克王建新禹化龙贝绍生

山东大学第二医院肛肠外科，济南 250033

收稿日期:2008-10-18 出版日期:2009-06-16 发布日期:2209-06-25
作者简介:吕艳锋(1977- )，男，硕士，主治医师，主要从事结直肠肛门部疾病的基础与临床研究。

Canceration of chronic anal fistula

LV Yan-Feng, DING Ke, WANG Jian-Xin, YU Hua-Long, BEI Shao-Sheng

Department of Anoproctology, Second Hospital of Shandong University, Jinan 250033, China

Received:2008-10-18 Online:2009-06-16 Published:2209-06-25

摘要/Abstract

摘要：

目的探析慢性肛瘘癌变的临床病理特征。方法以1例典型病例进行分析，并回顾性总结文献报道的19例诊治经验。结果反复发作的慢性炎症刺激是肛瘘癌变的主要诱因。结论肛瘘继发癌变，病程发展慢，易被漏诊。应及时对可疑、复杂肛瘘患者行组织病理学检查。

关键词: 肛瘘；粘液腺癌；误诊

Abstract:

Objective To comprehend the clinical pathological characters of carcinomatous changes in chronic anal fistula. Methods One typical case of chronic anal fistula with carcinomatous changes treated in our department was analyzed, and the diagnostic and therapeutic experiences from nineteen cases were reviewed. Result Stimuli by recurrent chronic inflammation were the primary motivation for canceration of anus fistula. Conclusion Carcinomatous changes in chronic anal fistula grow slowly and can easily be neglected, so they should be timely determined by histopathological examination.

Key words: Anus fistula; Mucinous adenocarcinoma; Misdiagnosis

中图分类号:

R657.1

吕艳锋丁克王建新禹化龙贝绍生. 慢性肛瘘癌变诊疗分析[J]. 山东大学学报(医学版), 2209, 47(6): 55-57.

LV Yan-Feng, DING Ke, WANG Jian-Xin, YU Hua-Long, BEI Shao-Sheng. Canceration of chronic anal fistula[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2209, 47(6): 55-57.

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[1]	吕艳锋，王建新，李涛，丁克，贝绍生，禹化龙. 三维直肠腔内超声诊断肛周感染性疾病的临床应用[J]. 山东大学学报(医学版), 2010, 48(11): 106-.
[2]	吕艳锋丁克王建新禹化龙贝绍生. 慢性肛瘘癌变诊疗分析[J]. 山东大学学报(医学版), 2009, 47(6): 55-57.