肛门直肠周围脓肿研究（A study of perianal abscess）.docVIP

肛门直肠周围脓肿研究（A study of perianal abscess） anorectal abscess 2010-12-16 Chen Chunsheng Liu Enqing Perianal and perirectal (abscesses perianal abscess) generally refers to the anal gland infection, inflammation of the anal rectum around the gap tissue spread and purulent diseases. These abscesses usually occur in the spaces around the anus and rectum, and eventually form a fistula on the surface of the anus near the anus, called anal fistula. This nonspecific perianal abscess and anal fistula is the two stage of a disease, abscess is an early stage of anal fistula, anal fistula is a chronic abscess stage. 1 etiology and classification Perianal abscess is the most common cause of infection due to anal glands. Anal gland opens in anal recess and anal antrum, because of small dung accumulation, anal crypt, dry block, the meeting is hot, the hyperaemia that causes, the oedema such as hot food, all can cause anal recess phlogistic. The further development of inflammation can spread into the central anal intersphincteric anal gland through the anal gland through the internal sphincter, cause the sphincter between infection and anal gland abscess, which is a primary lesion, and to spread or penetrate the intestinal wall, and anal sphincter gap, the formation of the corresponding gap. Perianorectal clearance for fatty areolar tissue, once the infection is easy to spread, and even extend to both sides. Sphincter space infection form a high intramuscular abscess or pelvic rectal space abscess can spread upward, forming a low muscle abscess or subcutaneous abscess spread down the outside can penetrate the sphincter formation of ischiorectal abscess. A small number of abscesses around the rectum and anus are caused by direct trauma, infection, inflammatory disease of adjacent organs, injection of drugs, blood or lymph drainage, and diffusion to the space. There are two main pathogenic bacteria causing perianal abscess: aerobic and anaerobic bacteria. Aerobic bacteria are Escherichi