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KMID : 0381219820140030067
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Journal of RIMSK
1982 Volume.14 No. 3 p.67 ~ p.75
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A Clinical Analysis of Perianal abscess and Anal fistula
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Abstract
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A clinical analysis of 95 cases of anorectal abscess and 86 cases of anal fistula was done, which was treated_ at the department of surgery, Chung-Ang University during the ten-year from January 1972 to December 1981.
The results were as follows ;
1) The sex ratio was 3.1 : 1, of male preporderence. And the anorectal abscess was evently distributed from 3rd to 5th decade, the anal fistula was distributed from 3rd to 4th decade. 2) There was no seasonal variation of occurrence.
3) The most frequent symptoms were pain, fever, discharge in anorectal abscess and discharge, pain, discomfort in anal fistula.
4) The anorectal abscess and fistula were located most frequently in posterior position.
5) The laps after onset of symptom to operation were mostly within 10 dyas in anorectal abscess but in fistula mostly after 6 months.
6) Associated diseases of anorectal abscess were hemorrhoids, anal fistula and pulmonary to berculosis and in anal fistula, anorectal abscess, hemorrhoid, pulmonary tuberculosis in frequency.
7) On the operative findings, the amount of abscess was mostly within 10cc and nearly no evidence of internal opening in anorectal abscess, but in anal fistula, the detection rate of internal opening was 80.2%.
8) In pus culture, E. coli was cultured in 58.5 %.
9) The anal fistula was caused by anorectal abscess (55.8%), hemorrhoidectomy (12.8%) and previous fistulectomy (5.8%).
10) The most frequent fistula type was intersphincteric type.
11) In anorectal abscess, nienty-six percent of all were treated primarily incision and drainage and 7.496 of patients were treated concomittent operatE)n with fistulectomy, hemorrhoidectomy. In anal fistula, the only fistulectomy was taken in 96.596 of patients, the hemorrhoidectomy were taken in 11.6%, the incision and drainage and fistulectomy was taken in 3.5%.
12) In complication, there was 3 cases of long hospitalization, above 20 days, due to the pe stent pus discharge in perianal abscess and 2 cases of perianal abscess were occurred of fistulectomy in fistula.
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